Cavalier County Health District

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

R19635 Issued in ND

Legal business name

CAVALIER COUNTY HEALTH DISTRICT

Practice address

901 3Rd St
Langdon, ND 58249-2457

Phone

(701) 256-2402

Fax

(701) 256-5765

NPI assigned

Jun 14, 2006

Last updated

Nov 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terri Gustafson

Title

Administrator

Phone

(701) 256-2402

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1174566335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 3RD ST STE 11",
            "address_2": "STE 11",
            "city": "LANGDON",
            "state": "ND",
            "postal_code": "582492457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 3RD ST",
            "city": "LANGDON",
            "state": "ND",
            "postal_code": "582492457",
            "telephone_number": "701-256-2402",
            "fax_number": "701-256-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALIER COUNTY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-256-2402"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ND",
            "license": "R19635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58512",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blanchard Chiropractic Clinic LTD
• David John Blanchard
• Barbara Lee Boesl, LPC
• Kenneth Carwile, D.C.
• Catholic Charities North Dakota
• Cavalier County Memorial Hospital Association (Langdon Prairie Health)
• Cavalier County Memorial Hospital Association (Langdon Prairie Health)
• Cavalier County Memorial Hospital Association (Cavalier County Memorial Hospital & Clinics)
• Cavalier County Memorial Hospital Association (Langdon Prairie Health)
• Cavalier County Senior Meals & Services

• Public Health or Welfare Agency in Langdon, ND
• Providers in Langdon, ND by specialty
• Public Health or Welfare Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.