Mahnomen County Human Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

801466-1-CDT Issued in MN

Legal business name

MAHNOMEN COUNTY HUMAN SERVICES

Practice address

311 N Main St
Mahnomen, MN 56557-4015

Phone

(218) 935-2568

Fax

(218) 935-5459

NPI assigned

Jul 3, 2008

Last updated

Jul 3, 2008By 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

Mr. David Hjermstad, L.A.D.C.

Title

Chemical Dependency Counselor

Phone

(218) 935-2568

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1235392812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N MAIN ST",
            "address_2": "P.O. BOX 460",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "565574015",
            "telephone_number": "218-935-2568",
            "fax_number": "218-935-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N MAIN ST",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "565574015",
            "telephone_number": "218-935-2568",
            "fax_number": "218-935-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHNOMEN COUNTY HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "HJERMSTAD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHEMICAL DEPENDENCY COUNSELOR",
        "authorized_official_telephone_number": "218-935-2568",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.A.D.C."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": "801466-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Jacobson
• Nicole Johnson, NP
• Varya Kelly, OT
• Jessie Marie Kier, DNP, APRN, FNP-BC
• Mahnomen Area Assisted Living Center Inc
• Mahnomen Health Center
• Mahnomen Health Center
• Mahnomen Isd #432
• Sarah Jean Martinson, RN
• Sharon Mason Shebageget

• Case Management Agency in Mahnomen, MN
• Providers in Mahnomen, MN by specialty
• Case Management Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.