Mott Health Care Center
Organization Active NPI Custodial Care Facility · Mott, ND
NPI 1508548819 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1508548819
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Custodial Care Facility 311Z00000X
- Legal business name
- MOTT HEALTH CARE CENTER
- Practice address
- 401 Millionaire Ave
Mott, ND 58646-7270 - Phone
- (701) 824-3222
- Fax
- (701) 824-2113
- NPI assigned
- Aug 4, 2023
- Organization subpart
- No
Authorized official
- Name
- Jodi Moore, PA-C
- Title
- Administrator
- Phone
- (701) 290-0690
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D2297089 | Mott Health Care Center | Certificate of waiver | Jan 9, 2028 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Yes | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
401 Millionaire Ave
Mott, ND 58646-7270
Mailing address
PO Box 32
Mott, ND 58646-0032
Other providers in Mott, ND
- Curtis Jahner
- Jill Kerzman
- Billie Jo Mattis
- Lauren Meier
- Mott Ambulance Service
- Darrel Pritchard
- Janet Pritchard
- Southwest Special Education Unit
- The Evangelical Lutheran Good Samaritan Society
- The Evangelical Lutheran Good Samaritan Society
All providers in Mott, ND · Custodial Care Facility in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.