Organization
SOUTH CENTRAL BEHAVIORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GALL (BILLING SUPERVISOR)
(701) 328-4583
Entity
Organization
Contact information
Practice address
520 3RD ST NW, JAMESTOWN, ND 58401-2968
(701) 253-6300
(701) 253-6400
Mailing address
PO BOX 2055, 520 3RD ST NW, JAMESTOWN, ND 58402-2055
(701) 253-6300
(701) 253-6400
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
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
03/31/2026
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