CHARLES HALL YOUTH SERVICES INC. NPI 1720293301

NPI Information

NPI: 1720293301
Provider Name: CHARLES HALL YOUTH SERVICES INC.
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
513 E BISMARCK EXPY
BISMARCK, ND
ZIP 58504
Phone: (701) 255-2773
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CHARLES HALL YOUTH SERVICES INC. is a voluntary or charitable in Bismarck, ND. CHARLES HALL YOUTH SERVICES INC. NPI is 1720293301. The provider is registered as an organization entity type.

The provider's business location address is:

513 E BISMARCK EXPY
BISMARCK, ND
ZIP 58504-577
Phone: (701) 255-2773
Fax: (701) 255-6261

The provider's authorized official is Gayle Robert Klopp .
The authorized official title is Executive Director and has the following contact phone number (701) 255-2773.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 8/22/2020.

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	251V00000X	Voluntary or Charitable				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	27506	OTHER	NORTH DAKOTA	KATHRYN KRUKENBERG BCBS
2	74005	MEDICAID	NORTH DAKOTA
3	27507	OTHER	NORTH DAKOTA	AMY FAST TRIWEST PIN
4	19167	MEDICAID	NORTH DAKOTA
5	27505	OTHER	NORTH DAKOTA	LAVONNA FUCHS - BCBS PIN
6	74003	MEDICAID	NORTH DAKOTA
7	27506	OTHER	NORTH DAKOTA	KATHRYN KRUKENBERG TRIWES
8	27507	OTHER	NORTH DAKOTA	AMY FAST BCBS PIN
9	74004	MEDICAID	NORTH DAKOTA
10	27505	OTHER	NORTH DAKOTA	TRIWEST PIN
11	50602	MEDICAID	NORTH DAKOTA
12	74006	MEDICAID	NORTH 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: 11/14/2023

NPI Synchronization or Removal

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