Organization Active NPI

Southwestern Dist Health Unit

  • Public Health or Welfare Agency
  • Dickinson, ND
National Provider Identifier
1346468808
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SOUTHWESTERN DIST HEALTH UNIT
Practice address
2869 3Rd Ave W
Dickinson, ND 58601
Phone
(701) 483-0171
Fax
(701) 483-4097
NPI assigned
Apr 23, 2007
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Ms. Carlotta F Ehlis
Title
Administrator
Phone
(701) 483-0171

Specialties & licenses 1

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

Addresses

Primary practice location

2869 3Rd Ave W
Dickinson, ND 58601

Mailing address

2869 3Rd Ave W
Dickinson, ND 58601-2600
Phone (701) 483-0171

Other identifiers 1

IdentifierTypeStateIssuer
57985MedicaidND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090513000126 ND Part B Supplier - Public Health/Welfare Agency 1254413842 Practice locations: Beach, ND; Bowman, ND; Dickinson, ND; Hettinger, ND; Manning, ND; Mott, ND

National Provider Directory

National Provider Directory

Locations

104 1st St NW
Ste 6
Bowman, ND 58623
Phone (701) 523-3144

227 16th St W
Dickinson, ND 58601
Phone (701) 227-7900

2869 3rd Ave W
Dickinson, ND 58601
Phone (701) 483-0171

528 21st St W
Dickinson, ND 58601
Phone (701) 483-0171

609 2nd Ave N
Hettinger, ND 58639
Phone (701) 567-2720

609 2nd Ave N
Ofc
Hettinger, ND 58639
Phone (701) 567-2720

205 Owens St
Fl 2
Manning, ND 58642
Phone (701) 573-5513

309 Millionaire Ave
Ofc
Mott, ND 58646
Phone (701) 824-3215

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1346468808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012600",
            "telephone_number": "701-483-0171",
            "fax_number": "701-483-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 3RD AVE W",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "58601",
            "telephone_number": "701-483-0171",
            "fax_number": "701-483-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN DIST HEALTH UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "EHLIS",
        "authorized_official_first_name": "CARLOTTA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-483-0171",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57985",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.