WEST CENTRAL HUMAN SERVICE CENTER NPI 1649226713

NPI Information

NPI: 1649226713
Provider Name: WEST CENTRAL HUMAN SERVICE CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 35D2065336

Address:
1237 W DIVIDE AVE
STE 5
BISMARCK, ND
ZIP 58501
Phone: (701) 328-8888
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WEST CENTRAL HUMAN SERVICE CENTER is a mental health (including community mental health center) clinic center in Bismarck, ND. WEST CENTRAL HUMAN SERVICE CENTER NPI is 1649226713. The provider is registered as an organization entity type.

The provider's business location address is:

1237 W DIVIDE AVE
STE 5
BISMARCK, ND
ZIP 58501
Phone: (701) 328-8888
Fax: (701) 328-8900

The provider's authorized official is Donna Aukland .
The authorized official title is Assistant Cfo - Dhs and has the following contact phone number (701) 328-4924.

The CLIA number assigned to this NPI record is 35D2065336 - other - human service center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 12/10/2020.

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)		NORTH DAKOTA	Yes
2	261QM0850X	Clinic/Center	Adult Mental Health		NORTH DAKOTA	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		NORTH DAKOTA	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	1018	NORTH DAKOTA	No

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	0004559496	OTHER		AETNA GROUP ID
2	054522	MEDICAID	NORTH DAKOTA
3	CN2142	OTHER	NORTH DAKOTA	RR MEDICARE GROUP ID
4	241001	OTHER	NORTH DAKOTA	BCBS OF ND GROUP ID

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

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