Organization Active NPI

Bob Hayes Addiction Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Minot, ND
National Provider Identifier
1245652569
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1428 Issued in ND
Legal business name
BOB HAYES ADDICTION SERVICES
Practice address
1809 S Broadway
Suite G
Minot, ND 58701-6567
Phone
(701) 838-1422
Fax
(701) 838-1423
NPI assigned
Jan 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Bob M Hayes, MS, LAC
Title
Director
Phone
(701) 838-1422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1428 ND Primary

Addresses

Primary practice location

1809 S Broadway
Suite G
Minot, ND 58701-6567

Mailing address

1809 S Broadway
Suite G
Minot, ND 58701-6567
Phone (701) 838-1422

National Provider Directory

National Provider Directory

Locations

1809 S Broadway
Ste G
Minot, ND 58701
Phone (701) 838-1422

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1245652569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 S BROADWAY",
            "address_2": "SUITE G",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016567",
            "telephone_number": "701-838-1422",
            "fax_number": "701-838-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 S BROADWAY",
            "address_2": "SUITE G",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016567",
            "telephone_number": "701-838-1422",
            "fax_number": "701-838-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB HAYES ADDICTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-838-1422",
        "authorized_official_credential": "MS, LAC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "ND",
            "license": "1428",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 7, 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.