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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
1261QD1600XDevelopmental Disabilities Clinic/Center

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2RAILROAD MEDICAREOTHERNDRR MEDICARE GROUP ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3BCBS OF MNOTHERNDBCBSMN GROUP ID
4BCBS OF NDOTHERNDGROUP BCBSNE ID

General Provider Information

NPI Number : 1689612475
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 : 06/03/2006
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:
1366496341 — 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

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