SOUTHEAST HUMAN SERVICE CENTER (NPI# 1932146941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932146941 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST HUMAN SERVICE CENTER |
| Practice Address |
2624 9th Ave S Fargo ND 58103-2350 |
| Practice Telephone | 7012984500 |
| Practice Fax Number | 7012984400 |
| Mailing Telephone | 7012984500 |
| Mailing Fax Number | 7012984400 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | JEFFREY J STENSETH (DIRECTOR) |
| Authorized Official Telephone | 7012984500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
1015 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS OF MN | 90981SO | 01 |
| ND | BCBS OF ND | 100001 | 01 |
| ND | 054520 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245284850 | Southeast Human Service Center | Clinic/Center | 2624 9th Ave S, Fargo, ND 58103-2350 | 2006-05-19 |
| 1295256386 | Southeast Human Service Center | Community/Behavioral Health | 2624 9th Ave S, Fargo, ND 58103-2350 | 2017-06-29 |
| 1922055243 | Southeast Human Service Center | Day Training, Developmentally Disabled Services | 2624 9th Ave S, Fargo, ND 58103-2350 | 2006-05-30 |
| Street Address |
2624 9TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245284850 | Southeast Human Service Center | Clinic/Center | 2624 9th Ave S, Fargo, ND 58103-2350 | 2006-05-19 |
| 1750982120 | Lena Fogel | Counselor | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-11-03 |
| 1356956247 | Carmen Berg | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-09-09 |
| 1225643125 | Heidi Ottmar | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-09-09 |
| 1962011239 | Tayler Wilson | Registered Nurse | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-07-23 |
| 1023626595 | Jordan Solheim | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-07-21 |
| 1710595954 | Carissa Bertsch | Registered Nurse | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-07-14 |
| 1740898923 | Madeline Swanson | Social Worker | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-07-14 |
| 1821615394 | Tanner Valnes | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-07-01 |
| 1447876446 | Rachael Steinke | Case Manager/Care Coordinator | 2624 9th Ave S, Fargo, ND 58103-2350 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1720638562 | Abound Counseling LLC | Clinic/Center | 3911 20th Ave S, Fargo, ND 58103-4705 | 2019-09-13 |
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| 1922352194 | Pathway To Freedom | Clinic/Center | 418 E Rosser Ave, Suite A, Bismarck, ND 58501-4046 | 2012-11-09 |
| 1669603189 | S.t.e.p.s. Counseling Services | Clinic/Center | 2718 Gateway Ave, Suite 304, Bismarck, ND 58503-0585 | 2009-07-31 |
| 1780840223 | Center for Solutions, P.C. | Clinic/Center | 1820 Walnut St E, Suite #7, Devils Lake, ND 58301-3411 | 2008-08-04 |
| 1831384445 | Drake Counseling Services | Clinic/Center | 1210 13th Ave Sw, Jamestown, ND 58401 | 2007-09-07 |
| 1891304226 | Holly Lo Ann Steckler | Clinic/Center | 7785 Saint Gertrude Ave, Raleigh, ND 58564-4103 | 2020-07-31 |
| 1982135430 | Lewis Good House | Clinic/Center | 3315 University Dr, Wellness Center, Bismarck, ND 58504 | 2017-03-27 |
| 1710364799 | Heartview Foundation Cando | Clinic/Center | 7448 68th Ave Ne, Cando, ND 58324-9485 | 2015-04-29 |
| 1245652569 | Bob Hayes Addiction Services | Clinic/Center | 1809 S Broadway, Suite G, Minot, ND 58701-6567 | 2014-01-07 |
| 1568656916 | Drake Counseling Services | Clinic/Center | 300 2nd Ave Ne, Suite 215, Jamestown, ND 58401 | 2007-08-29 |
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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.