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ANNE CARLSEN CENTER NPI 1316117542


NPI Information

NPI: 1316117542
Provider Name: ANNE CARLSEN CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 35D0655661

Address:
701 3RD ST NW
JAMESTOWN, ND
ZIP 58401
Phone: (701) 252-3850
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ANNE CARLSEN CENTER is a community behavioral health in Jamestown, ND. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ANNE CARLSEN CENTER NPI is 1316117542. The provider is registered as an organization entity type.

The provider's business location address is:

701 3RD ST NW
JAMESTOWN, ND
ZIP 58401-963
Phone: (701) 252-3850

The provider's authorized official is Tim Eissinger .
The authorized official title is Ceo and has the following contact phone number (701) 252-3850.

The CLIA number assigned to this NPI record is 35D0655661 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 2/18/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental Disabilities85522NORTH DAKOTANo
2251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
185522MEDICAIDNORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.