County of Sargent

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COUNTY OF SARGENT

Doing business as

Sargent County District Health Unit

Practice address

316 Main Street
Forman, ND 58032

Phone

(701) 724-3725

Fax

(701) 724-3296

NPI assigned

Feb 28, 2007

Last updated

Dec 8, 2023By 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

Brenda Kay Peterson

Title

Administrator

Phone

(701) 724-3725

Specialties & licenses 2

Addresses

Other names 1

• Sargent County District Health Unit Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Sargent2 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.

• Sargent County Social Services

  • Case Management Agency
  • Forman, ND
  • NPI 1134536360
  NPD tax ID

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1255469631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MAIN STREET",
            "city": "FORMAN",
            "state": "ND",
            "postal_code": "58032",
            "telephone_number": "701-724-3725",
            "fax_number": "701-724-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MAIN STREET",
            "city": "FORMAN",
            "state": "ND",
            "postal_code": "58032",
            "telephone_number": "701-724-3725",
            "fax_number": "701-724-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SARGENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-724-3725"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sargent County District Health Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sargent County District Health Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forman Drug Inc
• Four Seasons Healthcare Center Inc
• Michele H Gilbertson
• Kari Gilje, LSW
• Rosanne Clare Lohman, NP-C

• Public Health or Welfare Agency in Forman, ND
• Providers in Forman, ND by specialty
• Public Health or Welfare Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.