Williston Council for the Aging, Inc

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

WILLISTON COUNCIL FOR THE AGING, INC

Doing business as

Williston Council for the Aging, Inc

Practice address

18 Main St
Williston, ND 58801-6017

Phone

(701) 577-6751

NPI assigned

Jun 2, 2021

Organization subpart

No

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

Authorized official

Name

David Richter

Title

Executive Director

Phone

(701) 577-6751

Specialties & licenses 3

Addresses

Other names 1

• Williston Council for the Aging, Inc Doing business as

Locations

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1528634359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016017",
            "telephone_number": "701-577-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588016017",
            "telephone_number": "701-577-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLISTON COUNCIL FOR THE AGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "701-577-6751"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williston Council for the Aging, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Meals Provider in Williston, ND
• Providers in Williston, ND by specialty
• Meals Provider in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.