NPIMap

Organization Active NPI

Williams County Social Services

  • Case Manager/Care Coordinator
  • Williston, ND
National Provider Identifier
1093213464
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
WILLIAMS COUNTY SOCIAL SERVICES
Practice address
110 W Broadway Ste 202
Williston, ND 58801-6056
Phone
(701) 774-6300
Fax
(701) 572-9794
NPI assigned
Jan 31, 2018
Last updated
Jan 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Donna Barke
Title
Administrative Staff Officer I
Phone
(701) 774-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

110 W Broadway Ste 202
Williston, ND 58801-6056

Mailing address

110 W Broadway Ste 202
Williston, ND 58801-6056
Phone (701) 774-6300

Other identifiers 1

IdentifierTypeStateIssuer
1466349MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Williams County Social Services2 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 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1093213464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W BROADWAY STE 202",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016056",
            "telephone_number": "701-774-6300",
            "fax_number": "701-572-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W BROADWAY STE 202",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016056",
            "telephone_number": "701-774-6300",
            "fax_number": "701-572-9794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS COUNTY SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "BARKE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ADMINISTRATIVE STAFF OFFICER I",
        "authorized_official_telephone_number": "701-774-6300"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1466349",
            "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 Jan 31, 2018; 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.