# NORTH DAKOTA STATE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Transitional Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336273432
- **Authorized official:** DONNA AUKLAND (ASSISTANT CFO - DHS)
- **Authorized official phone:** (701) 328-4924

## Contact information

- **Practice address:** 2207 2211 COTTAGE LANE, JAMESTOWN, ND 58401
- **Practice address phone:** (701) 253-3650
- **Practice address fax:** (701) 253-3999
- **Mailing address:** 2605 CIRCLE DR, JAMESTOWN, ND 58401-6905
- **Mailing address phone:** (701) 253-3650
- **Mailing address fax:** (701) 253-3999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | 5060A | ND | Yes |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 12/10/2020