NPIMap

Organization Active NPI

Tri-Life Center L.L.P.

  • Rehabilitation Practitioner
  • Minot, ND
National Provider Identifier
1194807420
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
TRI-LIFE CENTER L.L.P.
Practice address
2401 Elk Dr
Minot, ND 58701-5631
Phone
(701) 837-5433
Fax
(701) 837-5433
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Ms. Bonnie K. Sjol, RNCNPI 1881882074
Title
Center Director
Phone
(701) 837-5433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X Primary

Addresses

Primary practice location

2401 Elk Dr
Minot, ND 58701-5631

Mailing address

PO Box 2023
Minot, ND 58702-2023
Phone (701) 837-5433

Other identifiers 2

IdentifierTypeStateIssuer
B001OtherNDTRICARE
10298OtherNDBCBS

National Provider Directory

National Provider Directory

Locations

2401 Elk Dr
Minot, ND 58701
Phone (701) 837-5433

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1194807420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2023",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587022023",
            "telephone_number": "701-837-5433",
            "fax_number": "701-837-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 ELK DR",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015631",
            "telephone_number": "701-837-5433",
            "fax_number": "701-837-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-LIFE CENTER L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "SJOL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "701-837-5433",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RNC"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "B001",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10298",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.