NORTH DAKOTA STATE HOSPITAL (NPI# 1336273432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336273432 |
| Entity Type | Organization |
| Organization Name | NORTH DAKOTA STATE HOSPITAL |
| Other Organization Name | TRANSITIONAL LIVING |
| Practice Address |
2207 2211 Cottage Lane Jamestown ND 58401 |
| Mailing Address |
2605 Circle Dr Jamestown ND 58401-6905 |
| Practice Telephone | 7012533650 |
| Practice Fax Number | 7012533999 |
| Mailing Telephone | 7012533650 |
| Mailing Fax Number | 7012533999 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | MR. ALEX C SCHWEITZER (SUPERINTENDENT) |
| Authorized Official Telephone | 7012533964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 5060A | ND | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 50383 | 05 |
| Other Name | Type Code |
|---|---|
| Transitional Living | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043260722 | North Dakota State Hospital | Pharmacy | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2006-05-11 |
| 1649227075 | North Dakota State Hospital | Clinic/Center | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2006-05-30 |
| Street Address |
2207 2211 COTTAGE LANE |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401 |
| 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 | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376501262 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703-8824 | 2006-05-02 |
| 1922184167 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1578649711 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1851476105 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-26 |
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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.