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Organization

NORTHEAST HUMAN SERVICE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA AUKLAND (ASSISTANT CFO - DHS)
(701) 328-4924
Entity
Organization

Contact information

Practice address
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050
Mailing address
151 S 4TH ST, SUITE 401, GRAND FORKS, ND 58201-4715
(701) 795-3000
(701) 795-3050

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
032317
ND
01
BCBS OF MN
BCBSMN GROUP ID
ND
01
BCBS OF ND
GROUP BCBSNE ID
ND
01
RAILROAD MEDICARE
RR MEDICARE GROUP ID
ND
Enumeration date
06/03/2006
Last updated
12/10/2020
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