NPIMap

Organization Active NPI

Good Road Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Bismarck, ND
National Provider Identifier
1629544267
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GOOD ROAD RECOVERY CENTER
Practice address
1308 Elbowood LN
Bismarck, ND 58503-5712
Phone
(701) 751-8260
NPI assigned
Oct 22, 2018
Last updated
Oct 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
THREE AFFILIATED TRIBES CENTRAL FINANCEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Authorized official

Name
Sherry Michelle Baker, CPC
Title
Billing Specialist
Phone
(701) 751-8260

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Meals Provider 174200000X
Lodging Provider 177F00000X
Case Management Agency 251B00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1308 Elbowood LN
Bismarck, ND 58503-5712

Mailing address

1308 Elbowood LN
Bismarck, ND 58503-5712
Phone (701) 751-8260

Other names 1

  • Three Affiliated Tribes Central Finance Other name

National Provider Directory

National Provider Directory
Tax ID family
Three Affiliated Tribes Dialysis Unit6 organizations share this tax ID, including this one
Part of
Three Affiliated Tribes Dialysis Unit

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1629544267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 ELBOWOOD LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035712",
            "telephone_number": "701-751-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 ELBOWOOD LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035712",
            "telephone_number": "701-751-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD ROAD RECOVERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE AFFILIATED TRIBES CENTRAL FINANCE",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "701-751-8260",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Affiliated Tribes Central Finance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.