First District Health Unit

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FIRST DISTRICT HEALTH UNIT

Practice address

801 11TH Ave SW
Minot, ND 58701-4274

Phone

(701) 852-1376

Fax

(701) 852-5043

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Lisa R Clute

Title

Executive Officer

Phone

(701) 852-1376

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Tax ID family

First District Health Unit2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• First District Health Unit

  • Public Health or Welfare Agency
  • Minot, ND
  • NPI 1972770030
  NPD tax ID

Locations

Practitioners 2

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

• Heather Mack, WHNP-BC

  • Women's Health Nurse Practitioner
  • Minot, ND
  • NPI 1568237634
  NPD (past)
• Bonnie F Riely

  • Peer Specialist
  • Minot, ND
  • NPI 1164158143
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1245314533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 11 AVE. SW",
            "address_2": "PO BOX 1268",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587021268",
            "telephone_number": "701-852-1376",
            "fax_number": "701-852-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 11TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014274",
            "telephone_number": "701-852-1376",
            "fax_number": "701-852-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST DISTRICT HEALTH UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "CLUTE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "701-852-1376"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "600000290",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10581",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249326",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "249327",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley Anne Fettig, OTR
• William Luke Fielhaber, D.C
• Katherine Rachel Filkins, MSW
• Jeremy Lee Finch
• First Choice Physical Therapy, Inc
• First District Health Unit
• Robert L Fischer, MD
• John A Fishpaw, DDS
• Kimberley Sue Fiskum, LSW
• Hailey Fix

• Clinic/Center in Minot, ND
• Providers in Minot, ND by specialty
• Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.