Organization Active NPI

Rolette County Public Health

  • Public Health or Welfare Agency
  • Rolla, ND
National Provider Identifier
1346300704
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
ROLETTE COUNTY PUBLIC HEALTH
Practice address
211 1St Ave NE
Box 726
Rolla, ND 58367-0726
Phone
(701) 477-5646
Fax
(701) 477-9578
NPI assigned
Dec 8, 2006
Last updated
Mar 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Sandra Kay Mitchell
Title
Administrative Assistant
Phone
(701) 477-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

211 1St Ave NE
Box 726
Rolla, ND 58367-0726

Mailing address

PO Box 726
Rolla, ND 58367-0726
Phone (701) 477-5646

Other identifiers 1

IdentifierTypeStateIssuer
52525MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080328000058 ND Part B Supplier - Mass Immunization (Roster Biller Only) 2668558842 Practice locations: Rolla, ND

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1346300704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583670726",
            "telephone_number": "701-477-5646",
            "fax_number": "701-477-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 1ST AVE NE",
            "address_2": "BOX 726",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583670726",
            "telephone_number": "701-477-5646",
            "fax_number": "701-477-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLETTE COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "701-477-5646"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52525",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.