Organization Active NPI

Red River Human Services Foundation

  • Community/Behavioral Health Agency
  • Wahpeton, ND
National Provider Identifier
1134729478
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RED RIVER HUMAN SERVICES FOUNDATION
Practice address
812 6TH St S
Wahpeton, ND 58075-4870
Phone
(701) 591-3429
NPI assigned
Oct 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Rita Sackett, CPA
Title
Financial Director
Phone
(701) 532-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

812 6TH St S
Wahpeton, ND 58075-4870

Mailing address

2506 35TH Ave S Ste a
Fargo, ND 58104-8897
Phone (701) 532-3402

Other identifiers 1

IdentifierTypeStateIssuer
1455781MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Wahpeton

National Provider Directory

National Provider Directory
Tax ID family
Red River Human Services Foundation15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1134729478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 35TH AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048897",
            "telephone_number": "701-532-3402",
            "fax_number": "701-235-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 6TH ST S",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754870",
            "telephone_number": "701-591-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER HUMAN SERVICES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "SACKETT",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "701-532-3402",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455781",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wahpeton",
            "affiliation": "N",
            "address_1": "812 6th St S",
            "city": "Wahpeton",
            "state": "ND",
            "country_code": "US",
            "postal_code": "580754870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wahpeton, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.