Active NPI
Towner County Public Health
- Public Health or Welfare Agency
- Cando, ND
National Provider Identifier
1356495675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 5391
- Legal business name
- TOWNER COUNTY PUBLIC HEALTH
- Practice address
- 404 5TH Ave. Suite #3
Cando, ND 58324-0705 - Phone
- (701) 968-4353
- Fax
- (701) 968-4354
- NPI assigned
- Jan 23, 2007
- Last updated
- Oct 17, 2022
- 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
- Majusta Kleven, RN
- Title
- Administrator, Don
- Phone
- (701) 230-0508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 5391 | ND | Primary |
Addresses
Primary practice location
404 5TH Ave. Suite #3
Cando, ND 58324-0705
Mailing address
404 5TH Ave. Suite #3
PO Box 705
Cando, ND 58324-0705
Phone (701) 968-4353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457609 | 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 |
|---|---|---|---|---|
| O20071116000191 | ND | Part B Supplier - Mass Immunization (Roster Biller Only) | 8325136898 | Practice locations: Cando, ND |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1356495675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 5TH AVE. SUITE #3",
"address_2": "PO BOX 705",
"city": "CANDO",
"state": "ND",
"postal_code": "583240705",
"telephone_number": "701-968-4353",
"fax_number": "701-968-4354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 5TH AVE. SUITE #3",
"city": "CANDO",
"state": "ND",
"postal_code": "583240705",
"telephone_number": "701-968-4353",
"fax_number": "701-968-4354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNER COUNTY PUBLIC HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "KLEVEN",
"authorized_official_first_name": "MAJUSTA",
"authorized_official_title_or_position": "ADMINISTRATOR, DON",
"authorized_official_telephone_number": "701-230-0508",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "ND",
"license": "5391",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457609",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cando, ND
- Towner County Medical Center Inc (Towner County Medical Center)
- Towner County Medical Center Inc (Towner County Medical Center)
- Towner County Medical Center Inc (Towner County Living Center)
- Towner County Medical Center Inc (Towner County Medical Center)
- Towner County Medical Center/St Francis
- Cassandra Mae Ullyott, FNP-C
- Anthony M Wentz, LAC
- Jaci Dawn Wentz, PMHNP-BC
- Duane Allen Wuollet
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.