North Dakota State Hospital

LBN: North Dakota State Hospital
North Dakota State Hospital is an health care organization with primary practice located at 2605 Circle Dr , Jamestown ND 58401-6905. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Hospitals / Psychiatric Hospital. Hospitals / Psychiatric Hospital is the primary health care specialty. North Dakota State Hospital can be contacted via phone (701) 253-3964, or through Aukland, Donna via phone (701) 328-4924.

Contact Information

Primary practice address
2605 Circle Dr Jamestown ND 58401-6905
Phone: (701) 253-3964
Fax: (701) 253-3999
Website:
Map and Directions
Authorized official contact:
Name: Aukland, Donna
Phone: (701) 328-4924

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X North Dakota
Hospitals / Psychiatric Hospital 283Q00000X 5060A North Dakota

Profile Details

NPI number 1649227075
LBN Legal business name North Dakota State Hospital
DBA Doing business as
Authorized official Aukland, Donna
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2006
Last updated Dec 10th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649227075 NPPES
North Dakota Other 85001 BLUE SHIELD
North Dakota MEDICAID 001086 BLUE SHIELD
North Dakota Other 802 BLUE SHIELD

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