Active NPI
Southwestern Dist Health Unit
- Public Health or Welfare Agency
- Dickinson, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57985 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Grand Forks, ND
- NPI 1912444936
-
- Clinical Social Worker
- Grand Forks, ND
- NPI 1801456876
-
- Physician Assistant
- Grand Forks, ND
- NPI 1336898634
-
- Physician Assistant
- Grand Forks, ND
- NPI 1093576407
-
- Clinical Social Worker
- Grand Forks, ND
- NPI 1811588353
-
- Clinical Social Worker
- Grand Forks, ND
- NPI 1427718428
-
- Physician Assistant
- Grand Forks, ND
- NPI 1720633530
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1609679430
-
- Psychiatric/Mental Health Nurse Practitioner
- Grand Forks, ND
- NPI 1780419812
-
- Social Worker
- Grand Forks, ND
- NPI 1922352426
-
- Physician Assistant
- Grand Forks, ND
- NPI 1083212625
-
- Physician Assistant
- Grand Forks, ND
- NPI 1578191003
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
- Suzanne Sobolik, PT
- Solas Health, PLLC
- Misty Solberg
- Soulace Cares LLC
- Southwest Multi-County Correction Center
- Channing Spradling, LCSW
- Lisa Spravzoff, L.S.W.
- St Joseph's Hospital & Health Center-Medquest
- St Joseph's Hospital and Health Center
- St Joseph's Hospital and Health Center (CHI St Alexius Health Dickinson)
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.