Lake Region Human Service Center

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

LAKE REGION HUMAN SERVICE CENTER

Practice address

200 Highway 2 W
Devils Lake, ND 58301-3532

Phone

(701) 665-2200

Fax

(701) 665-2300

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Donna Aukland

Title

Assistant Cfo - DHS

Phone

(701) 328-4924

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lake Region HSC2 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.

• Lake Region Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • Devils Lake, ND
  • NPI 1740701754
  NPD tax ID

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1124069331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HWY 2 W",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013532",
            "telephone_number": "701-665-2200",
            "fax_number": "701-665-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHWAY 2 W",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583013532",
            "telephone_number": "701-665-2200",
            "fax_number": "701-665-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION HUMAN SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "AUKLAND",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ASSISTANT CFO - DHS",
        "authorized_official_telephone_number": "701-328-4924"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032316",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lake Region Corporation
• Lake Region Corporation
• Lake Region Corporation
• Lake Region District Health Unit
• Lake Region Family Planning Program
• Lake Region Law Enforcement Center
• Lake Region Lutheran Home, Inc.
• Lake Region Lutheran Home, Inc.
• Lake Region Lutheran Home, Inc.
• Lake Region Special Education

• Developmental Disabilities Clinic/Center in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Developmental Disabilities Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.