NPIMap

Organization Active NPI

Opportunity Foundation Inc

  • Community/Behavioral Health Agency
  • Williston, ND
National Provider Identifier
1427655786
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OPPORTUNITY FOUNDATION INC
Practice address
526 Reclamation Dr
Williston, ND 58801-5669
Phone
(701) 774-8593
Fax
(701) 572-8871
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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

Authorized official

Name
Andrea J Peterson
Title
Financial Manager
Phone
(701) 774-8593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

526 Reclamation Dr
Williston, ND 58801-5669

Mailing address

PO Box 1627
Williston, ND 58802-1627
Phone (701) 774-8593

Other identifiers 1

IdentifierTypeStateIssuer
1455746MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Opportunity Foundation Inc15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1427655786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588021627",
            "telephone_number": "701-774-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 RECLAMATION DR",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015669",
            "telephone_number": "701-774-8593",
            "fax_number": "701-572-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITY FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "701-774-8593"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455746",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.