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THE ENRICHMENT GARDEN NPI 1730212325


NPI Information

NPI: 1730212325
Provider Name: THE ENRICHMENT GARDEN

Former Legal Business Name: CHILDREN'S DEVELOPMENT CENTER

Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
1138 N 3RD ST
BISMARCK, ND
ZIP 58501
Phone: (701) 258-1569
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THE ENRICHMENT GARDEN is a hearing and speech clinic center in Bismarck, ND. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. THE ENRICHMENT GARDEN NPI is 1730212325. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Children's Development Center.

The provider's business location address is:

1138 N 3RD ST
BISMARCK, ND
ZIP 58501-556
Phone: (701) 258-1569
Fax: (701) 223-1669

The provider's authorized official is Thomas Matthew Bry .
The authorized official title is President and has the following contact phone number (701) 258-1569.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 10/30/2023.


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 Disabilities376NORTH DAKOTANo
2261QH0700XClinic/CenterHearing and SpeechYes

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
159243MEDICAIDNORTH DAKOTA
2027312OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
359160MEDICAIDNORTH DAKOTA
455053MEDICAIDNORTH DAKOTA
5599001OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
67770280MEDICAIDNORTH DAKOTA
725799OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
851207MEDICAIDNORTH DAKOTA
9027311OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
1012168OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
111458770MEDICAIDNORTH 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: 4/28/2024

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