SOUTH CENTRAL HUMAN SERVICE CENTER (NPI# 1225075906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225075906 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL HUMAN SERVICE CENTER |
| Practice Address |
520 3rd St Nw Jamestown ND 58401 |
| Mailing Address |
Po Box 2055 520 3rd St Nw Jamestown ND 58402-2055 |
| Practice Telephone | 7012536300 |
| Practice Fax Number | 7012536400 |
| Mailing Telephone | 7012536300 |
| Mailing Fax Number | 7012536400 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-04-28 |
| Authorized Official Name | CANDACE FUGLESTEN (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 7012536313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1016 | ND | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS PROVIDER NUMBER | 123001 | 01 |
| ND | 054521 | 05 | |
| ND | RAILROAD MEDICARE | CD32316 | 01 |
| ND | BCBS OF ND | 123001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778944 | South Central Human Service Center | Clinic/Center | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2006-05-19 |
| 1154842185 | South Central Human Service Center | Community/Behavioral Health | 520 3rd St Nw, Jamestown, ND 58402-2055 | 2017-06-29 |
| Street Address |
520 3RD ST NW |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778944 | South Central Human Service Center | Clinic/Center | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2006-05-19 |
| 1235745167 | Jodi L Grugel | Case Manager/Care Coordinator | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-09-16 |
| 1588277081 | Cristal Ackerman | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-08-25 |
| 1477166189 | Alyssa Eppen | Counselor | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-08-24 |
| 1528670833 | Tiffany F Johnson | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-08-18 |
| 1477184034 | Brandon L Dobson | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-31 |
| 1770123010 | Jessica Lynn Myers | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-15 |
| 1073153565 | Lisa Jo Harrington | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-13 |
| 1194365973 | Tina Mikkelson | Technician, Other | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2020-01-09 |
| 1801432844 | Kayla Leslie Schneibel | Counselor | 520 3rd St Nw, Jamestown, ND 58401-2968 | 2019-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343737 | Face and Jaw Surgeons PC | Dentist | 1517 12 Ave Ne, Jamestown, ND 58401 | 2020-10-16 |
| 1194216481 | Richard Yonick | Case Manager/Care Coordinator | South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 | 2018-05-23 |
| 1831607910 | Creative Journey, LLC | Clinic/Center | 429 2nd St Sw Ste 205, Jamestown, ND 58401 | 2018-01-11 |
| 1619399334 | Stutsman County Social Services | Case Manager/Care Coordinator | 116 1st Street East, Jamestown, ND 58401 | 2014-01-15 |
| 1073945176 | Sarah Walker | Pharmacist | 410 10th Street Se, Suite 8, Jamestown, ND 58401 | 2013-07-31 |
| 1811339369 | Yvette D Patrick | Occupational Therapist | 207 2nd Avenue Se, Jamestown, ND 58401 | 2013-07-25 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1548426430 | Shipley Basic Care | Alzheimer Center (Dementia Center) | 1505 3 St Se, Jamestown, ND 58401 | 2008-07-31 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| Find all providers in zip 58401 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1548770480 | Piedmont Counseling and Development | Clinic/Center | 4917 Piedmont Pkwy Ste 103d, Jamestown, NC 27282-7536 | 2017-10-05 |
| 1831585660 | Jamestown Counseling Center | Clinic/Center | 300 2nd Ave Ne, Suite 215, Jamestown, ND 58401-3373 | 2015-04-08 |
| 1689738098 | The Resource Center | Clinic/Center | 75 Jones and Gifford Ave, Jamestown, NY 14701-2828 | 2006-12-20 |
| 1659434835 | The Resource Center | Clinic/Center | 344 E 4th St, Jamestown, NY 14701-5502 | 2006-12-18 |
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| 1609492016 | Igniting Your Change | Clinic/Center | 1222 4th Ave N Apt 318, Fargo, ND 58102-4374 | 2020-06-22 |
| 1922636323 | Peace of Mind Counseling, Pllc | Clinic/Center | 8351 Palomino Dr, Bismarck, ND 58504-4044 | 2020-03-31 |
| 1093295859 | Healing Hearts Therapy, LLC | Clinic/Center | 511 2nd St W, Williston, ND 58801-5907 | 2018-08-20 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1225414956 | 30:17 Counseling | Clinic/Center | 1751 Main Ave E, West Fargo, ND 58078-2203 | 2015-08-04 |
| 1043451370 | Sacajawea Substance Abuse Counseling and Drug Testing Center | Clinic/Center | 112 3rd Street West, Suite 301, Dickinson, ND 58601 | 2009-03-17 |
| 1265658967 | Center for Self-growth & Renewal, PC | Clinic/Center | 1551 28th Ave S, Suite C, Grand Forks, ND 58201-6782 | 2007-04-18 |
| 1205932233 | Heart River Alcohol and Drug Abuse Services Inc. | Clinic/Center | 24 W Villard St Ste B, Dickinson, ND 58601-5152 | 2006-09-16 |
| 1588694392 | The Village Family Service Centere | Clinic/Center | 20 1st St Sw, Minot, ND 58701-3851 | 2006-07-04 |
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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.