Kidder County District Health Unit

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

KIDDER COUNTY DISTRICT HEALTH UNIT

Practice address

422 2ND Ave NW
Steele, ND 58482-7320

Phone

(701) 475-2582

Fax

(701) 475-2652

NPI assigned

Sep 16, 2006

Last updated

Aug 22, 2020By 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

Janel M Brousseau

Title

Administrator/Bookkeeper

Phone

(701) 475-2582

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184720864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 2ND AVE NW",
            "city": "STEELE",
            "state": "ND",
            "postal_code": "584827320",
            "telephone_number": "701-475-2582",
            "fax_number": "701-475-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 2ND AVE NW",
            "city": "STEELE",
            "state": "ND",
            "postal_code": "584827320",
            "telephone_number": "701-475-2582",
            "fax_number": "701-475-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDDER COUNTY DISTRICT HEALTH UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROUSSEAU",
        "authorized_official_first_name": "JANEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR/BOOKKEEPER",
        "authorized_official_telephone_number": "701-475-2582"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57994",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Lynn Dewitz, DNP
• Four Seasons Wellness, PLLC
• Golden Manor Inc
• Kidder County Ambulance Service Inc (Kidder County Ambulance)
• Kidder County Chiropractic
• Kidder County Primary Healthcare Corporation (Kidder County Community Health Center)
• Kidder County Social Service Board (Kidder County Social Services)
• Jamie Nelson
• Mandy Kaye Rath, FNP, MSN, BSN
• Dannielle Lee Ruff, DC

• State or Local Public Health Clinic/Center in Steele, ND
• Providers in Steele, ND by specialty
• State or Local Public Health Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.