Organization Active NPI

Upper Missouri District Health Unit

  • Public Health or Welfare Agency
  • Williston, ND
National Provider Identifier
1083889430
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
UPPER MISSOURI DISTRICT HEALTH UNIT
Practice address
110 W Broadway
Ste 101
Williston, ND 58801-6056
Phone
(701) 774-6400
Fax
(701) 577-8536
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Mr. Mike Melius
Title
Executive Officer
Phone
(701) 774-6418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

110 W Broadway
Ste 101
Williston, ND 58801-6056

Mailing address

110 W Broadway
Ste 101
Williston, ND 58801-6056
Phone (701) 774-6400

Other identifiers 4

IdentifierTypeStateIssuer
31058OtherNDBC BS OF ND
31057OtherNDBC BS OF ND
31060OtherNDBC BS OF ND
31059OtherNDBC BS OF ND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040203000444 ND Part B Supplier - Mass Immunization (Roster Biller Only) 3577456789 Practice locations: Williston, ND

National Provider Directory

National Provider Directory
Tax ID family
Upper Missouri District Health Unit2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1083889430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W BROADWAY",
            "address_2": "STE 101",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016056",
            "telephone_number": "701-774-6400",
            "fax_number": "701-577-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W BROADWAY",
            "address_2": "STE 101",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016056",
            "telephone_number": "701-774-6400",
            "fax_number": "701-577-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER MISSOURI DISTRICT HEALTH UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "MELIUS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "701-774-6418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ND",
            "identifier": "31058",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ND",
            "identifier": "31057",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ND",
            "identifier": "31060",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF ND",
            "identifier": "31059",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.