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Organization

ANNE CARLSEN CENTER

Active
Parent organization
ANNE CARLSEN CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
ANNE CARLSEN CENTER
Authorized official
STEPHANIE NELSON (CEO)
(701) 952-5195
Entity
Organization

Contact information

Practice address
2200 20TH ST SW, JAMESTOWN, ND 58401-7500
(701) 952-5142
(701) 952-1450
Mailing address
2200 20TH ST SW, JAMESTOWN, ND 58401-7500
(701) 952-5142
(701) 952-1450

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
106S00000X
Behavior Technician
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist
261QM1300X
Multi-Specialty Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05919001
BLUE SHIELD
ND
01
23204
BLUE SHIELD
ND
05
54469
ND
Enumeration date
04/24/2008
Last updated
10/09/2025
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