Organization Active NPI

Anne Carlsen Center

  • Intellectual Disabilities Intermediate Care Facility
  • Jamestown, ND
National Provider Identifier
1144582933
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ANNE CARLSEN CENTER
Practice address
2200 20TH St SW
Jamestown, ND 58401-7500
Phone
(701) 952-5142
NPI assigned
Jun 8, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tim Eissinger
Title
Ceo
Phone
(701) 952-5187

Corporate family (same tax ID) 9

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

National Provider Directory

National Provider Directory
Tax ID family
Anne Carlsen Center for Children (10 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

2200 20TH St SW
Jamestown, ND 58401-7500

Mailing address

701 3Rd Steeet NW
Jamestown, ND 58401
Phone (701) 252-3850

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2025.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1144582933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 3RD STEEET NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "58401",
            "telephone_number": "701-252-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 20TH ST SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584017500",
            "telephone_number": "701-952-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE CARLSEN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "EISSINGER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-952-5187"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.