NPIMap

Organization Active NPI

Souris Valley Special Services

  • Speech-Language Pathologist
  • Minot, ND
National Provider Identifier
1407254196
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1106 Issued in ND
Legal business name
SOURIS VALLEY SPECIAL SERVICES
Practice address
215 2ND St SE
Minot, ND 58701-3924
Phone
(701) 857-4410
Fax
(701) 857-4413
NPI assigned
Dec 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Authorized official

Name
Mr. Larry Halvorson
Title
Business Manager
Phone
(701) 857-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1106 ND Primary

Addresses

Primary practice location

215 2ND St SE
Minot, ND 58701-3924

Mailing address

215 2ND St SE
Minot, ND 58701-3924
Phone (701) 857-4410

National Provider Directory

National Provider Directory
Tax ID family
Souris Valley Special Services2 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": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1407254196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 2ND ST SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013924",
            "telephone_number": "701-857-4410",
            "fax_number": "701-857-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 2ND ST SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013924",
            "telephone_number": "701-857-4410",
            "fax_number": "701-857-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURIS VALLEY SPECIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "HALVORSON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "701-857-4411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "ND",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.