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NORTHEAST HUMAN SERVICE CENTER NPI 1689612475


NPI Information

NPI: 1689612475
Provider Name: NORTHEAST HUMAN SERVICE CENTER
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
151 S 4TH ST
SUITE 401
GRAND FORKS, ND
ZIP 58201
Phone: (701) 795-3000
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NORTHEAST HUMAN SERVICE CENTER is a developmental disabilities clinic center in Grand Forks, ND. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). NORTHEAST HUMAN SERVICE CENTER NPI is 1689612475. The provider is registered as an organization entity type.

The provider's business location address is:

151 S 4TH ST
SUITE 401
GRAND FORKS, ND
ZIP 58201-715
Phone: (701) 795-3000
Fax: (701) 795-3050

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 enumeration date for this NPI number is 6/3/2006 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
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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
1RAILROAD MEDICAREOTHERNORTH DAKOTARR MEDICARE GROUP ID
2BCBS OF NDOTHERNORTH DAKOTAGROUP BCBSNE ID
3032317MEDICAIDNORTH DAKOTA
4BCBS OF MNOTHERNORTH DAKOTABCBSMN 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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