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NORTH DAKOTA STATE HOSPITAL NPI 1649227075


NPI Information

NPI: 1649227075
Provider Name: NORTH DAKOTA STATE HOSPITAL
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 35D0408746

Address:
2605 CIRCLE DR
JAMESTOWN, ND
ZIP 58401
Phone: (701) 253-3964
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NORTH DAKOTA STATE HOSPITAL is a psychiatric hospital in Jamestown, ND. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. NORTH DAKOTA STATE HOSPITAL NPI is 1649227075. The provider is registered as an organization entity type.

The provider's business location address is:

2605 CIRCLE DR
JAMESTOWN, ND
ZIP 58401-905
Phone: (701) 253-3964
Fax: (701) 253-3999

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 35D0408746 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/30/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNORTH DAKOTANo
2283Q00000XPsychiatric Hospital5060ANORTH DAKOTAYes

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
185001OTHERNORTH DAKOTABLUE SHIELD
2001086MEDICAIDNORTH DAKOTA
3802OTHERNORTH DAKOTABLUE CROSS

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: 11/14/2023

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.