Healthcare Provider Details

I. General information

NPI: 1033506076
Provider Name (Legal Business Name): BOWMAN/SLOPE MULTI-COUNTY SOCIAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 04/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 1ST ST NW STE 8
BOWMAN ND
58623-4342
US

IV. Provider business mailing address

104 1ST ST NW STE 8
BOWMAN ND
58623-4342
US

V. Phone/Fax

Practice location:
  • Phone: 701-523-3285
  • Fax:
Mailing address:
  • Phone: 701-523-3285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SHONDA L SCHWARTZ
Title or Position: DIRECTOR
Credential: LICSW
Phone: 701-523-3285