Active NPI
Upper Missouri District Health Unit
- Public Health or Welfare Agency
- Williston, ND
National Provider Identifier
1083889430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31058 | Other | ND | BC BS OF ND |
| 31057 | Other | ND | BC BS OF ND |
| 31060 | Other | ND | BC BS OF ND |
| 31059 | Other | ND | BC BS OF ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Unit
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Williston, ND
- NPI 1689677585
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Williston, ND
- NPI 1720691645
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.