Gale S Graham

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

64 Palm Beach Rd
Dickinson, ND 58601-7302

Phone

(701) 260-2685

NPI assigned

May 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Badlands Behavioral Health Clinic

  dba Badlands HSC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dickinson, ND
  • NPI 1124072525
  NPD (past)
• Badlands Behavioral Health Clinic

  • Community/Behavioral Health Agency
  • Dickinson, ND
  • NPI 1952828360
  NPD (past)

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1538782404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PALM BEACH RD",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586017302",
            "telephone_number": "701-260-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PALM BEACH RD",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586017302",
            "telephone_number": "701-260-2685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1463 I94 Business Loop E",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "ND",
            "postal_code": "586016434",
            "country_code": "US",
            "telephone_number": "701-227-7500",
            "fax_number": "701-227-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GALE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iran K Gonzalez
• Cory Gooch
• Sheldon R Gordon, D.C.
• Grace & Wisdom Counseling PLLC
• Graceland Services LLC
• Emily Gran
• Great Plains Clinic P.C.
• Great Plains Clinic, PC
• Great Plains Restorative Services, LLC
• Christine T Greenwood

• Other Technician in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Other Technician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.