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RED RIVER HUMAN SERVICES FOUNDATION NPI 1740889401


NPI Information

NPI: 1740889401
Provider Name: RED RIVER HUMAN SERVICES FOUNDATION
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 35D2080230

Address:
1685 6TH ST W
WEST FARGO, ND
ZIP 58078
Phone: (701) 532-3416
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RED RIVER HUMAN SERVICES FOUNDATION is a community behavioral health in West Fargo, ND. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. RED RIVER HUMAN SERVICES FOUNDATION NPI is 1740889401. The provider is registered as an organization entity type.

The provider's business location address is:

1685 6TH ST W
WEST FARGO, ND
ZIP 58078-624
Phone: (701) 532-3416

The provider's authorized official is Rita Sackett .
The authorized official title is Financial Director and has the following contact phone number (701) 532-3402.

The CLIA number assigned to this NPI record is 35D2080230 - other - transitional living ds with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2020 and was last updated on 10/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

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
11455782MEDICAIDNORTH 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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