South Central Human Service Center

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

SOUTH CENTRAL HUMAN SERVICE CENTER

Practice address

520 3Rd St NW
Jamestown, ND 58401-2968

Phone

(701) 253-6300

Fax

(701) 253-6400

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Donna Aukland

Title

Assistant Cfo - DHS

Phone

(701) 328-4924

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

South Central Behavioral Health Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• South Central Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • Jamestown, ND
  • NPI 1154842185
  NPD tax ID
• South Central Behavioral Health Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, ND
  • NPI 1225075906
  NPD tax ID
• South Central Human Service Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jamestown, ND
  • NPI 1093542391
  NPD tax ID

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1194778944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 3RD ST NW",
            "address_2": "PO BOX 2055",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012968",
            "telephone_number": "701-253-6300",
            "fax_number": "701-253-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 3RD ST NW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584012968",
            "telephone_number": "701-253-6300",
            "fax_number": "701-253-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL HUMAN SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "AUKLAND",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ASSISTANT CFO - DHS",
        "authorized_official_telephone_number": "701-328-4924"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032319",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy Lea Sorlie, MD
• Kerrie L Soulis, LSW
• South Central Behavioral Health Clinic
• South Central Behavioral Health Clinic
• South Central Human Service Center
• Joleen Sprenger
• St. Thomas Counseling Center, PLLC
• Jodell Stading
• Danica Stahlhut, LMSW
• Barbara K Stanton, PHD

• Developmental Disabilities Clinic/Center in Jamestown, ND
• Providers in Jamestown, ND by specialty
• Developmental Disabilities Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.