Northeast Human Service Center

LBN: Northeast Human Service Center
Northeast Human Service Center is an health care organization with primary practice located at 151 S 4Th St Suite 401, Grand Forks ND 58201-4715. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Northeast Human Service Center can be contacted via phone (701) 795-3000, or through Aukland, Donna via phone (701) 328-4924.

Contact Information

Primary practice address
151 S 4Th St Suite 401 Grand Forks ND 58201-4715
Phone: (701) 795-3000
Fax: (701) 795-3050
Website:
Map and Directions
Authorized official contact:
Name: Aukland, Donna
Phone: (701) 328-4924

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 1049 North Dakota

Profile Details

NPI number 1366496341
LBN Legal business name Northeast Human Service Center
DBA Doing business as
Authorized official Aukland, Donna
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 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 1366496341 NPPES
North Dakota Other 242001 BCBS ND PROV #
North Dakota Other CI4039 BCBS ND PROV #
North Dakota MEDICAID 054519 BCBS ND PROV #
North Dakota Other 90963NO BCBS ND PROV #

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