DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NORTHEAST HUMAN SERVICE CENTER

MEDICARE: NORTHEAST HUMAN SERVICE CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0850XAdult Mental Health Clinic/Center
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center1049ND
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CI4039OTHERNDRAILROAD MEDICARE #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1242001OTHERNDBCBS ND PROV #
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
490963NOOTHERNDBCBS OF MN PROV #

General Provider Information

NPI Number : 1366496341
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHEAST HUMAN SERVICE CENTER
Provider Business Mailing Address
First Line : 151 S 4TH ST
Second Line : SUITE 401
City : GRAND FORKS
State : ND
Zip : 58201-4715
Country : US
Telephone Number : 701-795-3000
Fax Number : 701-795-3050
Provider Business Practice Location Address
First Line : 151 S 4TH ST
Second Line : SUITE 401
City : GRAND FORKS
State : ND
Zip : 58201-4715
Country : US
Telephone Number : 701-795-3000
Fax Number : 701-795-3050
Authorized Official
Title or Position : ASSISTANT CFO - DHS
Name : DONNA AUKLAND
Credential :
Telephone Number : 701-328-4924
Provider Enumeration Date : 05/22/2006
Last Update Date : 12/10/2020

Similar Medicare Providers

1740556414 — MRS. TALITHA K SCHNAIDT
Practice Location Address:
151 S 4TH ST , SUITE 401
GRAND FORKS, ND
58201-4715
Practice Phone: 701-795-3150
Practice Fax:
1689612475 — NORTHEAST HUMAN SERVICE CENTER
Practice Location Address:
151 S 4TH ST , SUITE 401
GRAND FORKS, ND
58201-4715
Practice Phone: 701-795-3000
Practice Fax: 701-795-3050
1447299417 — MR. CHRISTOPHER JOHN WERKLEY MSW, LICSW, BCD
Practice Location Address:
151 S 4TH ST , SUITE 401
GRAND FORKS, ND
58201-4715
Practice Phone: 701-795-3000
Practice Fax: 701-795-3050
1518906437 — DESIREE JOANNE GAGNER-TJELLESEN RNCS,APRN,BC
Practice Location Address:
151 S 4TH ST , SUITE 401
GRAND FORKS, ND
58201-4715
Practice Phone: 701-795-3000
Practice Fax: 701-795-3050
1326087107 — BETH M. HEMMING LICSW
Practice Location Address:
151 S 4TH ST , SUITE 401
GRAND FORKS, ND
58201-4715
Practice Phone: 701-795-3000
Practice Fax: 701-795-3050
1063453454 — MS. RACHEL A AMBERS LICSW
Practice Location Address:
151 S 4TH ST , SUITE 401
GRAND FORKS, ND
58201-4715
Practice Phone: 701-795-3000
Practice Fax: 701-795-3050

Directions to “NORTHEAST HUMAN SERVICE CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.