County of Dickey

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

AN7413254 Issued in ND

Legal business name

COUNTY OF DICKEY

Doing business as

Dickey County Health District

Practice address

205 15TH Street North
Ellendale, ND 58436

Phone

(701) 349-4348

Fax

(701) 349-3277

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Roxanne M Holm

Title

Administrator

Phone

(701) 349-4348

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dickey County Health District Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Dickey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dickey County Social Service

  • Public Health or Welfare Agency
  • Ellendale, ND
  • NPI 1285044503
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dickey County Social Service

  • Public Health or Welfare Agency
  • Ellendale, ND
  • NPI 1285044503
  NPPES parent name

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brittany Broderson, LSW

  • Social Worker
  • Ellendale, ND
  • NPI 1245733799
  NPD (past)
• Abby Gibbs

  • Case Manager/Care Coordinator
  • Ellendale, ND
  • NPI 1205481348
  NPD (past)
• Cindy Olstad

  • Case Manager/Care Coordinator
  • Ellendale, ND
  • NPI 1700244696
  NPD (past)
• Chelsey Richard, LBSW

  • Case Manager/Care Coordinator
  • Fargo, ND
  • NPI 1710398920
  NPD (past)
• Barbara Ritter, LICSW

  • Case Manager/Care Coordinator
  • Ellendale, ND
  • NPI 1902216260
  NPD (past)
• Deborah A Tank

  • Social Worker
  • Ellendale, ND
  • NPI 1205246543
  NPD (past)
• Kristine Zantow, LSW

  • Personal Care Attendant
  • Ellendale, ND
  • NPI 1316592447
  NPD (past)

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1063613438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 238",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "584360238",
            "telephone_number": "701-349-4348",
            "fax_number": "701-349-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 15TH STREET NORTH",
            "city": "ELLENDALE",
            "state": "ND",
            "postal_code": "58436",
            "telephone_number": "701-349-4348",
            "fax_number": "701-349-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DICKEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-349-4348"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ND",
            "license": "AN7413254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51756",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dickey County Health District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Broderson, LSW
• Shellcy Ann Bullock
• City of Ellendale (Ellendale Community Ambulance Service)
• Cotter Dental PC (Dakota Dental Care)
• Brandon B Cotter, DDS
• Dakota Dental Care
• Dickey County Social Service
• Dickey Rural Services
• Deborah J Elhard, MS LPCC
• Ellendale Chiropractic Clinic

• Public Health or Welfare Agency in Ellendale, ND
• Providers in Ellendale, ND by specialty
• Public Health or Welfare Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.