NPIMap

Organization Active NPI

Red River Human Services Foundation

  • Community/Behavioral Health Agency
  • West Fargo, ND
National Provider Identifier
1003416587
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RED RIVER HUMAN SERVICES FOUNDATION
Practice address
1689 6TH St W
West Fargo, ND 58078-4624
Phone
(701) 532-3417
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rita Sackett, CPA
Title
Financial Director
Phone
(701) 532-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1689 6TH St W
West Fargo, ND 58078-4624

Mailing address

2506 35TH Ave S Ste a
Fargo, ND 58104-8897
Phone (701) 532-3402

Other identifiers 1

IdentifierTypeStateIssuer
1455769MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WestFargo

National Provider Directory

National Provider Directory
Tax ID family
Red River Human Services Foundation15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1689 6th St W
West Fargo, ND 58078
Phone (701) 532-3417

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1003416587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 35TH AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048897",
            "telephone_number": "701-532-3402",
            "fax_number": "701-235-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 6TH ST W",
            "city": "WEST FARGO",
            "state": "ND",
            "postal_code": "580784624",
            "telephone_number": "701-532-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER HUMAN SERVICES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "SACKETT",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "701-532-3402",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455769",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WestFargo",
            "affiliation": "N",
            "address_1": "1689 6th St W",
            "city": "West Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "580784624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.