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Organization
SOUTH CENTRAL BEHAVIORAL HEALTH CLINIC
Active
Organization
SOUTH CENTRAL BEHAVIORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY OLSON (CLAIMS AND CLIENT ACCOUNTS MGR)
(701) 328-8580
Entity
Organization
Contact information
Practice address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6300
(701) 253-6400
Mailing address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6300
(701) 253-6400
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1016
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054521
—
ND
01
—
123001
BCBS OF ND
ND
01
—
CD32316
RAILROAD MEDICARE
ND
Enumeration date
06/01/2006
Last updated
06/23/2026
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