Opportunity Foundation Inc
Organization Active NPI Early Intervention Provider Agency · Williston, ND
NPI 1376147751 · NPPES record last updated Nov 30, 2020
Key facts
- NPI
- 1376147751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Legal business name
- OPPORTUNITY FOUNDATION INC
- Practice address
- 612 E Broadway
Williston, ND 58801-6104 - Phone
- (701) 774-8593
- Fax
- (701) 572-8871
- NPI assigned
- Nov 25, 2020
- Organization subpart
- No
Authorized official
- Name
- Andrea J Peterson
- Title
- Financial Manager
- Phone
- (701) 774-8593
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Opportunity Foundation Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Yes |
Addresses
Primary practice location
612 E Broadway
Williston, ND 58801-6104
Mailing address
PO Box 1627
Williston, ND 58802-1627
Phone (701) 774-8593
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1456397 | Medicaid | ND |
Other providers in Williston, ND
- Opportunity Foundation Inc
- Opportunity Foundation Inc
- Opportunity Foundation Inc
- Opportunity Foundation Inc
- Opportunity Foundation Inc
- Opportunity Foundation Inc
- Opportunity Foundation Inc
- Opportunity Foundation Inc
- Jillian Rae Orth
- Christi A Osborn
All providers in Williston, ND · Early Intervention Provider Agency in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.