Organization Active NPI

Stark County Council on Aging

  • Bus
  • Dickinson, ND
National Provider Identifier
1376664086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
BusTaxonomy code 347B00000X
Legal business name
STARK COUNTY COUNCIL ON AGING
Practice address
220 W Broadway
Dickinson, ND 58602-0629
Phone
(701) 456-1818
Fax
(701) 456-1820
NPI assigned
Apr 2, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Midge Kuntz
Title
Executive Director
Phone
(701) 456-1818

National Provider Directory

National Provider Directory

Locations

220 W Broadway St
Dickinson, ND 58601
Phone (701) 456-1818

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Bus 347B00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

220 W Broadway
Dickinson, ND 58602-0629

Mailing address

PO Box 629
Dickinson, ND 58602-0629
Phone (701) 456-1818

Other names 1

NPPES NPI Registry
  • Elder Care Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376664086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586020629",
            "telephone_number": "701-456-1818",
            "fax_number": "701-456-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W BROADWAY",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586020629",
            "telephone_number": "701-456-1818",
            "fax_number": "701-456-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUNTZ",
        "authorized_official_first_name": "MIDGE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-456-1818"
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elder Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.