SPIRIT LAKE HEAD START (NPI# 1093015265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093015265 |
| Entity Type | Organization |
| Organization Name | SPIRIT LAKE HEAD START |
| Practice Address |
816 3rd Ave North Fort Totten ND 58335 |
| Practice Telephone | 7017664070 |
| Practice Fax Number | 7017661357 |
| Mailing Telephone | 7017664070 |
| Mailing Fax Number | 7017661357 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |
| Authorized Official Name | MARIA LANE KOCH (HEALTH SERVICE COORDINATOR) |
| Authorized Official Telephone | 7017661370 |
| Authorized Official Credential | REGISTERED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 251J00000X | Nursing Care | R34550 | ND | Agencies |
| Street Address |
816 3RD AVE NORTH |
| City | FORT TOTTEN |
| State | ND |
| Zip Code | 58335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941116 | Sherry Yvonne Longie | Technician | 213 Dakotah Dr. #53, Fort Totten, ND 58335 | 2020-10-29 |
| 1235650250 | Tiffaney Anne Two Eagle | Registered Nurse | 3883 74th Avenue Northeast, Fort Totten, ND 58335 | 2017-06-29 |
| 1154532000 | Nancy C Dauphinais | Technician, Pathology | 3883 74th Avenue North East, Fort Totten, ND 58335 | 2007-05-24 |
| 1467575159 | Jeanette Lucille Rosenheim | Registered Nurse | Spirit Lake Health Center, 3883 74th Ave Ne Box 309, Fort Totten, ND 58335 | 2007-04-09 |
| 1184744518 | Tammy Delaine Lawrence | Registered Nurse | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2007-03-30 |
| 1821127036 | Evangeline S. Gaid | Family Medicine | 3883 74th Ave.ne, Ft. Totten, ND 58335 | 2007-03-05 |
| 1538296199 | Cheri J Schaffer | Registered Nurse | 3883 74th Ave North East, Fort Totten, ND 58335 | 2007-02-28 |
| 1720152457 | Spirit Lake Tribe | Case Management | 416 2nd Avenue North, Fort Totten, ND 58335 | 2006-11-17 |
| 1689762171 | Cynthia Anne Gunderson | Pharmacist | 3883 74th Ave Ne, Ft Totten, ND 58335 | 2006-10-10 |
| 1740387059 | Spirit Lake Tribe | Ambulance | 7686 Ephriam Hill Road, Fort Totten, ND 58335 | 2006-09-20 |
| Find all providers in zip 58335 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255824256 | Omega Home Care Services LLC | Nursing Care | 42 Sims St Ste 15, Dickinson, ND 58601-5116 | 2018-06-13 |
| 1568851657 | Angels Hands Healthcare | Nursing Care | 3701 10th St Ne, Minot, ND 58703-3505 | 2015-01-13 |
| 1144636051 | Sheridan Memorial Home | Nursing Care | 610 South Main, Mcclusky, ND 58463-0350 | 2014-07-11 |
| 1316352669 | Corrie Tivis | Nursing Care | 1929 N 11th St Apt 5, Bismarck, ND 58501-1916 | 2014-06-25 |
| 1821402512 | Nicole Mord | Nursing Care | 817 17th St S, Fargo, ND 58103-2557 | 2014-06-20 |
| 1720492366 | Easter Seals Goodwill Nd, Inc. | Nursing Care | 211 Collins Ave, Mandan, ND 58554-3106 | 2014-06-11 |
| 1013326461 | United Tribes Technical College | Nursing Care | 3315 University Dr, Bismarck, ND 58504-7565 | 2014-08-11 |
| 1770778748 | Western Horizons Living Centers | Nursing Care | 1104 Highway 12, Hettinger, ND 58639-7533 | 2007-09-12 |
| 1740391853 | Pride Wilton Inc. | Nursing Care | 1200 Missouri Ave, Bismarck, ND 58504-5264 | 2006-08-31 |
| City | FORT TOTTEN |
| Zip Code | 58335 |
Please comment or provide details below to improve the information on SPIRIT LAKE HEAD START.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.