NPIMap

Organization Active NPI

City of Bismarck

  • State or Local Public Health Clinic/Center
  • Bismarck, ND
National Provider Identifier
1386049153
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
4902 Issued in ND
Legal business name
CITY OF BISMARCK
Practice address
500 E Front Ave
Bismarck, ND 58504-5689
Phone
(701) 355-1540
Fax
(701) 221-6883
NPI assigned
Oct 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Ms. Renae A Moch, MBA, FACMPE
Title
Director of Public Health
Phone
(701) 355-1540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 4902 ND Primary

Addresses

Primary practice location

500 E Front Ave
Bismarck, ND 58504-5689

Mailing address

500 E Front Ave
Bismarck, ND 58504-5689
Phone (701) 355-1540

Other identifiers 1

IdentifierTypeStateIssuer
58031MedicaidND

Other names 1

  • Bismarck-Burleigh Public Health Other name

National Provider Directory

National Provider Directory
Tax ID family
City of Bismarck2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1386049153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045689",
            "telephone_number": "701-355-1540",
            "fax_number": "701-221-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E FRONT AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045689",
            "telephone_number": "701-355-1540",
            "fax_number": "701-221-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BISMARCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "MOCH",
        "authorized_official_first_name": "RENAE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "701-355-1540",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA, FACMPE"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "ND",
            "license": "4902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58031",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bismarck-Burleigh Public Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.