Southeast Human Service Center

LBN: Southeast Human Service Center
Southeast Human Service Center is an health care organization with primary practice located at 2624 9Th Ave S , Fargo ND 58103-2350. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, 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 / Rehabilitation, Substance Use Disorder is the primary health care specialty. Southeast Human Service Center can be contacted via phone (701) 298-4500, or through Stenseth, Jeffrey J via phone (701) 298-4500.

Contact Information

Primary practice address
2624 9Th Ave S Fargo ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
Website:
Map and Directions
Authorized official contact:
Name: Stenseth, Jeffrey J
Phone: (701) 298-4500

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
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 1015 North Dakota

Profile Details

NPI number 1932146941
LBN Legal business name Southeast Human Service Center
DBA Doing business as
Authorized official Stenseth, Jeffrey J
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 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 1932146941 NPPES
North Dakota MEDICAID 054520
North Dakota Other 90981SO
North Dakota Other 100001

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