Lake Region Family Planning Program

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

LAKE REGION FAMILY PLANNING PROGRAM

Practice address

524 4TH Ave NE Unit 9
Ramsey County Courthouse
Devils Lake, ND 58301-2490

Phone

(701) 662-7046

Fax

(701) 662-7073

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Karen Halle

Title

Administrator

Phone

(701) 662-7046

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lake Region District Health Unit Other name

Tax ID family

Lake Region District Health2 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.

• Lake Region District Health Unit

  • Public Health or Welfare Agency
  • Devils Lake, ND
  • NPI 1164553160
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Sue Moen, NURSE PRACTITIONER

  • Women's Health Nurse Practitioner
  • Devils Lake, ND
  • NPI 1619939006
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407068778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 4TH AVE NE UNIT 9",
            "address_2": "RAMSEY COUNTY COURTHOUSE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012490",
            "telephone_number": "701-662-7046",
            "fax_number": "701-662-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 4TH AVE NE UNIT 9",
            "address_2": "RAMSEY COUNTY COURTHOUSE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012490",
            "telephone_number": "701-662-7046",
            "fax_number": "701-662-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION FAMILY PLANNING PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALLE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-662-7046"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53580",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Region District Health Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lake Region Corporation
• Lake Region Corporation
• Lake Region Corporation
• Lake Region Corporation
• Lake Region District Health Unit
• Lake Region Human Service Center
• Lake Region Law Enforcement Center
• Lake Region Lutheran Home, Inc.
• Lake Region Lutheran Home, Inc.
• Lake Region Lutheran Home, Inc.

• Public Health or Welfare Agency in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Public Health or Welfare Agency in North Dakota

• 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.