NPIMap

Organization Active NPI

Catholic Charities North Dakota

  • Voluntary or Charitable Agency
  • Fargo, ND
National Provider Identifier
1619927290
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
CATHOLIC CHARITIES NORTH DAKOTA
Practice address
5201 Bishops Blvd S Ste B
Fargo, ND 58104-7605
Phone
(701) 356-7993
NPI assigned
May 12, 2006
Last updated
Jan 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Delrae Amann
Title
Authorized Official
Phone
(701) 371-6166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

5201 Bishops Blvd S Ste B
Fargo, ND 58104-7605

Mailing address

5201 Bishops Blvd S
Suite B
Fargo, ND 58104-7608
Phone (701) 235-4457

Other practice location 1

5201 Bishops Blvd S
Suite B
Fargo, ND 58104-7608
Phone (701) 235-4457

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL catholiccharitiesnd.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060607000216 ND Part B Supplier - Clinic/Group Practice 3476565573 Receives reassigned benefits from 7 practitioners
Practice locations: Fargo, ND

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities North Dakota4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5201 Bishops Blvd S
Ste B
Fargo, ND 58104
Phone (701) 235-4457

311 S 4th St
Ste 105
Grand Forks, ND 58201
Phone (701) 775-4196

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1619927290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 BISHOPS BLVD S",
            "address_2": "SUITE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047608",
            "telephone_number": "701-235-4457",
            "fax_number": "701-356-7993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 BISHOPS BLVD S STE B",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047605",
            "telephone_number": "701-356-7993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Bishops Blvd S",
            "address_2": "SUITE B",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581047608",
            "country_code": "US",
            "telephone_number": "701-235-4457",
            "fax_number": "701-356-7993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES NORTH DAKOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "AMANN",
        "authorized_official_first_name": "DELRAE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "701-371-6166"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "catholiccharitiesnd.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "5201 Bishops Blvd S",
            "address_2": "SUITE B",
            "city": "Fargo",
            "state": "ND",
            "country_code": "US",
            "postal_code": "581047608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.