NORTH DAKOTA STATE HOSPITAL (NPI# 1649227075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649227075 |
| Entity Type | Organization |
| Organization Name | NORTH DAKOTA STATE HOSPITAL |
| Practice Address |
2605 Circle Dr Jamestown ND 58401-6905 |
| Practice Telephone | 7012533964 |
| Practice Fax Number | 7012533999 |
| Mailing Telephone | 7012533964 |
| Mailing Fax Number | 7012533999 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2014-02-19 |
| Authorized Official Name | ALEX C SCHWEITZER (SUPERINTENDENT) |
| Authorized Official Telephone | 7012533964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
ND | Ambulatory Health Care Facilities | |
| Y | 283Q00000X | Psychiatric Hospital | 5060A | ND | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS | 802 | 01 |
| ND | BLUE SHIELD | 85001 | 01 |
| ND | 001086 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336273432 | North Dakota State Hospital | Psychiatric Residential Treatment Facility | 2207 2211 Cottage Lane, Jamestown, ND 58401 | 2007-03-14 |
| 1043260722 | North Dakota State Hospital | Pharmacy | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2006-05-11 |
| Street Address |
2605 CIRCLE DR |
| City | JAMESTOWN |
| State | ND |
| Zip Code | 58401-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043260722 | North Dakota State Hospital | Pharmacy | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2006-05-11 |
| 1447851605 | Susan Jean Anderson | Social Worker | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2020-11-04 |
| 1861099822 | Tanesha Roehrich | Occupational Therapy Assistant | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2020-10-02 |
| 1629682992 | Melanie Flynn | Counselor | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2020-09-03 |
| 1295350114 | Callie Krause | Family Medicine | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2020-06-16 |
| 1235642653 | Alex Zeitchick | Psychologist | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2017-11-07 |
| 1033556295 | Candida D Hoggarth-baldwin | Nurse Practitioner | 2605 Circle Dr, North Dakota State Hospital, Jamestown, ND 58401-6905 | 2013-05-29 |
| 1467705822 | Ann E Engel | Psychologist | 2605 Circle Dr, Jamestown, ND 58401 | 2012-10-23 |
| 1316175862 | Robert D. Lisota | Specialist | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2009-06-23 |
| 1558407916 | Lynne E. Sullivan | Psychologist | 2605 Circle Dr, Jamestown, ND 58401-6905 | 2007-01-30 |
| 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 | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831137389 | Richard P Stadter Psychiatric Center, LLC | Psychiatric Hospital | 1451 44th Ave S Ste A, Grand Forks, ND 58201-3434 | 2006-06-04 |
| 1417901000 | Prairie St Johns | Psychiatric Hospital | 510 4th St S, Fargo, ND 58103-1914 | 2006-05-19 |
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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.