Organization Active NPI

Sargent County Social Services

  • Case Management Agency
  • Forman, ND
National Provider Identifier
1134536360
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
4858 Issued in ND
Legal business name
SARGENT COUNTY SOCIAL SERVICES
Practice address
355 Main St S
Suite #7
Forman, ND 58032-4149
Phone
(701) 724-6241
Fax
(701) 724-3323
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Mrs. Wendy Jacobson
Title
Director
Phone
(701) 724-6241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 4858 ND Primary

Addresses

Primary practice location

355 Main St S
Suite #7
Forman, ND 58032-4149

Mailing address

355 Main St S
Suite #7
Forman, ND 58032-4149
Phone (701) 724-6241

National Provider Directory

National Provider Directory
Tax ID family
Sargent 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.

Locations

355 Main St S
Ste 7
Forman, ND 58032
Phone (701) 724-6241

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": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1134536360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 MAIN ST S",
            "address_2": "SUITE #7",
            "city": "FORMAN",
            "state": "ND",
            "postal_code": "580324149",
            "telephone_number": "701-724-6241",
            "fax_number": "701-724-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 MAIN ST S",
            "address_2": "SUITE #7",
            "city": "FORMAN",
            "state": "ND",
            "postal_code": "580324149",
            "telephone_number": "701-724-6241",
            "fax_number": "701-724-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARGENT COUNTY SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-724-6241",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ND",
            "license": "4858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forman, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.