Renville County Social Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

RENVILLE COUNTY SOCIAL SERVICES

Practice address

205 Main St E
Mohall, ND 58761-4014

Phone

(701) 756-6374

Fax

(701) 756-6618

NPI assigned

Jan 12, 2018

Last updated

Jan 12, 2018By 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

Amanda WallaceNPI 1952808024

Title

Director

Phone

(701) 756-6374

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Marie Wallace, LCSW

  • Case Manager/Care Coordinator
  • Mohall, ND
  • NPI 1952808024
  NPD (past) Authorized official

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1295243277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "MOHALL",
            "state": "ND",
            "postal_code": "587610305",
            "telephone_number": "701-756-6374",
            "fax_number": "701-756-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MAIN ST E",
            "city": "MOHALL",
            "state": "ND",
            "postal_code": "587614014",
            "telephone_number": "701-756-6374",
            "fax_number": "701-756-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENVILLE COUNTY SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-756-6374"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vera Jones
• Jacqueline Ann Kelly, RN
• Jan Jessie McLean
• Mohall Ambulance Service
• Prairie Home and Health LLC
• Peggy Ring
• Loretta Scott, LPN
• Melanie Ray Skar, PT
• Mary Smith
• Ruth A Stanley, NP-C

• Case Management Agency in Mohall, ND
• Providers in Mohall, ND by specialty
• Case Management Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.