NORTH CENTRAL HUMAN SERVICE CENTER NPI 1477592533

NPI Information

NPI: 1477592533
Provider Name: NORTH CENTRAL HUMAN SERVICE CENTER
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1015 S BROADWAY STE 18
MINOT, ND
ZIP 58701
Phone: (701) 857-8500
Get Directions

NORTH CENTRAL HUMAN SERVICE CENTER is an adult mental health clinic center in Minot, ND. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. NORTH CENTRAL HUMAN SERVICE CENTER NPI is 1477592533. The provider is registered as an organization entity type.

The provider's business location address is:

1015 S BROADWAY STE 18
MINOT, ND
ZIP 58701-667
Phone: (701) 857-8500
Fax: (701) 857-8555

The provider's authorized official is Laurie Gotvaslee .
The authorized official title is Director and has the following contact phone number (701) 857-8500.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 5/15/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	1011	NORTH DAKOTA	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	1011	NORTH DAKOTA	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	1011	NORTH DAKOTA	No
4	261QM0850X	Clinic/Center	Adult Mental Health	1011	NORTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	054517	MEDICAID	NORTH DAKOTA
2	CE2373	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	RR MEDICARE GROUP ID
3	N6331	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	MEDICARE GROUP ID
4	2380001	OTHER	NORTH DAKOTA	BCBS OF ND

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: 5/5/2024

NPI Synchronization or Removal

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