LAKE REGION HUMAN SERVICE CENTER (NPI# 1124069331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124069331 |
| Entity Type | Organization |
| Organization Name | LAKE REGION HUMAN SERVICE CENTER |
| Practice Address |
200 Highway 2 W Devils Lake ND 58301-3532 |
| Mailing Address |
200 Hwy 2 W Devils Lake ND 58301-3532 |
| Practice Telephone | 7016652200 |
| Practice Fax Number | 7016652300 |
| Mailing Telephone | 7016652200 |
| Mailing Fax Number | 7016652300 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | KATE M KENNA (DIRECTOR) |
| Authorized Official Telephone | 7016652200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 032316 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669411930 | Lake Region Human Service Center | Clinic/Center | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2006-06-05 |
| 1740701754 | Lake Region Human Service Center | Community/Behavioral Health | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-29 |
| Street Address |
200 HIGHWAY 2 W |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-3532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669411930 | Lake Region Human Service Center | Clinic/Center | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2006-06-05 |
| 1730722950 | Paige Nicole Dahlen | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2019-10-21 |
| 1548728629 | Michelle Marie Bazal | Counselor | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2019-03-07 |
| 1316440472 | Angela M Holtz | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-03-15 |
| 1083122717 | Megan Gean Clinton | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-01-16 |
| 1962910745 | Jane F Adams | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2018-01-16 |
| 1235657073 | James Michael Cole | Social Worker | 200 Highway 2 W, Devils Lake, ND 58301 | 2017-08-31 |
| 1033631296 | Tania R Lyon | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-07-10 |
| 1740701754 | Lake Region Human Service Center | Community/Behavioral Health | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-29 |
| 1295255446 | Jacklyn Jane Aasmundstad | Case Manager/Care Coordinator | 200 Highway 2 W, Devils Lake, ND 58301-3532 | 2017-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1457521155 | Tri City Cares, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| 1821268517 | Tri City Care, Inc | Clinic/Center | 723 1st St Sw, Stanley, ND 58784 | 2008-03-10 |
| 1669642369 | Tri City Cares, Inc | Clinic/Center | 415 7th Ave Se, Stanley, ND 58784 | 2008-03-10 |
| 1982800959 | Tri City Cares, Inc. | Clinic/Center | 15 1st Street Se, Stanley, ND 58784 | 2007-06-26 |
| 1730212325 | Children's Development Center, Inc. | Clinic/Center | 1815 Schafer St, Ste 202, Bismarck, ND 58501-1217 | 2007-03-13 |
| 1194778944 | South Central Human Service Center | Clinic/Center | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2006-05-19 |
| 1245284850 | Southeast Human Service Center | Clinic/Center | 2624 9th Ave S, Fargo, ND 58103-2350 | 2006-05-19 |
| 1205293537 | Jmb Services Inc | Clinic/Center | 1911 N 11th St, Bismarck, ND 58501-1915 | 2016-01-17 |
| 1336454438 | Susan Delap, Md, Professional Corporation | Clinic/Center | 4023 State St, Suite 100, Bismarck, ND 58503-0690 | 2010-08-12 |
| 1902076607 | Tri City Care, Inc | Clinic/Center | 15 1st Ave Se, Stanley, ND 58784-9998 | 2008-03-10 |
| Find all providers with the same taxonomy | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
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| 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.