DAKOTA BOYS & GIRLS RANCH ASSOCIATION (NPI# 1578649711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578649711 |
| Entity Type | Organization |
| Organization Name | DAKOTA BOYS & GIRLS RANCH ASSOCIATION |
| Other Organization Name | DAKOTA BOYS RANCH MINOT RTC |
| Practice Address |
6301 19th Ave Nw Minot ND 58703 |
| Practice Telephone | 7018574232 |
| Practice Fax Number | 7018521190 |
| Mailing Telephone | 7018574232 |
| Mailing Fax Number | 7018521190 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2014-02-11 |
| Authorized Official Name | SHONDELL GANTZER (FINANCIAL SERVICES MANAGER) |
| Authorized Official Telephone | 7018574232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | ND | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 57550 | 05 | |
| ND | BLUE CROSS OF ND | 3913 | 01 |
| Other Name | Type Code |
|---|---|
| Dakota Boys Ranch Minot RTC | Doing Business As Name - Organization |
| 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 |
| 1750467999 | Dakota Boys & Girls Ranch Association | Residential Treatment Facility, Emotionally Disturbed Children | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-31 |
| 1669558805 | Dakota Boys & Girls Ranch Association | Residential Treatment Facility, Emotionally Disturbed Children | 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 |
| Street Address |
6301 19TH AVE NW |
| City | MINOT |
| State | ND |
| Zip Code | 58703 |
| 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 |
| 1154967016 | Matthew Stewart Baumgartner | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2019-11-25 |
| 1568922490 | Randall Lee | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2019-03-25 |
| 1740769496 | Taylor Keller | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2018-08-13 |
| 1538600127 | Kelsey Kozel | Case Manager/Care Coordinator | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2017-03-15 |
| 1861946725 | Dinell Polsfut | Social Worker | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2016-08-09 |
| 1255885299 | Austin Larsen | Case Manager/Care Coordinator | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2016-08-08 |
| 1760890388 | Ashley Lauren Hebbard | Social Worker | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2014-07-28 |
| 1689000432 | Connie Rod | Counselor | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2013-09-24 |
| 1700212818 | Sandra M Lanz | Social Worker | 6301 19th Ave Nw, Minot, ND 58703-8899 | 2013-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197673 | Kathryn Gallagher | Social Worker | Minot Air Force Base, Apo, AA 58703 | 2019-07-25 |
| 1720527120 | North Hill Pharmacy LLC | Pharmacy | 2111 Landmark Cir Nw Ste C, Minot, ND 58703 | 2017-02-17 |
| 1881138238 | Ashley A Beeter, Pmh-dnp | Nurse Practitioner | 24 North Main Street, Suite K, Minot, ND 58703 | 2016-12-05 |
| 1851768501 | Apex Chiropractic | Chiropractor | 1500 21st Ave Nw, Suite 105, Minot, ND 58703 | 2015-08-28 |
| 1033404546 | Kayla R Lambrecht | Physical Therapist | 2111 Landmark Cir Nw # B, Minot, ND 58703 | 2011-06-13 |
| 1265684062 | Minot Dentistry PC | Dentist | 600-22nd Ave Nw, Minot, ND 58703 | 2008-10-13 |
| 1073529350 | Orvin G. Lommen | Social Worker | #9 Cortland Drive, Minot, ND 58703 | 2006-07-31 |
| 1306872478 | James Christopher Everett | Chiropractor | 2217 16th Street Nw, Minot, ND 58703 | 2006-06-23 |
| 1760917975 | Derek Cluff | Dentist | 194 Missle Ave, Minot Afb, ND 58703 | 2017-04-25 |
| 1750701280 | Mary J Solberg | Social Worker | 1705 4th Ave Nw, Minot, ND 58703 | 2014-04-23 |
| Find all providers in zip 58703 | ||||
| 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 |
| 1851476105 | Dakota Boys & Girls Ranch Association | Psychiatric Residential Treatment Facility | 6301 19th Ave Nw, Minot, ND 58703 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336273432 | North Dakota State Hospital | Psychiatric Residential Treatment Facility | 2207 2211 Cottage Lane, Jamestown, ND 58401 | 2007-03-14 |
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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.