Organization
NORTH DAKOTA STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA AUKLAND (ASSISTANT CFO - DHS)
(701) 328-4924
Entity
Organization
Contact information
Practice address
2605 CIRCLE DR, JAMESTOWN, ND 58401-6905
(701) 253-3964
(701) 253-3999
Mailing address
2605 CIRCLE DR, JAMESTOWN, ND 58401-6905
(701) 253-3964
(701) 253-3999
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
ND
283Q00000X
Psychiatric Hospital
Primary
5060A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001086
—
ND
01
—
802
BLUE CROSS
ND
01
—
85001
BLUE SHIELD
ND
Enumeration date
05/30/2006
Last updated
12/10/2020
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