NPIMap

Organization Active NPI

Northwest Human Service Center

  • Developmentally Disabled Services Day Training Agency
  • Williston, ND
National Provider Identifier
1225051550
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
NORTHWEST HUMAN SERVICE CENTER
Practice address
316 2ND Ave W
Williston, ND 58801-5218
Phone
(701) 774-4600
Fax
(701) 774-4620
NPI assigned
Jul 26, 2006
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Mrs. Laurie Golvaslee
Title
Director
Phone
(701) 774-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

316 2ND Ave W
Williston, ND 58801-5218

Mailing address

PO Box 1266
Williston, ND 58802-1266
Phone (701) 774-4600

Other identifiers 1

IdentifierTypeStateIssuer
035201MedicaidND

Other names 1

  • NWHSC Other name

National Provider Directory

National Provider Directory
Tax ID family
Northwest Human Service Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1225051550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588021266",
            "telephone_number": "701-774-4600",
            "fax_number": "701-774-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 2ND AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015218",
            "telephone_number": "701-774-4600",
            "fax_number": "701-774-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HUMAN SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "GOLVASLEE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-774-4600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035201",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NWHSC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.