NPIMap

Organization Active NPI

Traill County Government

  • Case Management Agency
  • Hillsboro, ND
National Provider Identifier
1336543701
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TRAILL COUNTY GOVERNMENT
Practice address
114 West Caledonia Ave.
Hillsboro, ND 58045-0190
Phone
(701) 636-5220
Fax
(701) 636-5221
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Kimberly Kay Jacobson
Title
Director
Phone
(701) 636-5220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

114 West Caledonia Ave.
Hillsboro, ND 58045-0190

Mailing address

PO Box 190
114 West Caledonia Ave.
Hillsboro, ND 58045-0190
Phone (701) 636-5220

Other identifiers 2

IdentifierTypeStateIssuer
38849MedicaidND
50759MedicaidND

Other names 1

  • Traill County Social Services Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1336543701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "address_2": "114 WEST CALEDONIA AVE.",
            "city": "HILLSBORO",
            "state": "ND",
            "postal_code": "580450190",
            "telephone_number": "701-636-5220",
            "fax_number": "701-636-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 WEST CALEDONIA AVE.",
            "city": "HILLSBORO",
            "state": "ND",
            "postal_code": "580450190",
            "telephone_number": "701-636-5220",
            "fax_number": "701-636-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILL COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-636-5220"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38849",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50759",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traill County Social Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsboro, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.