NPIMap

Organization Active NPI

Red River Human Services Foundation

  • Community/Behavioral Health Agency
  • Wahpeton, ND
National Provider Identifier
1629677463
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RED RIVER HUMAN SERVICES FOUNDATION
Practice address
701 6TH St S
Wahpeton, ND 58075-4813
Phone
(701) 591-3400
NPI assigned
Oct 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Rita Sackett, CPA
Title
Financial Director
Phone
(701) 532-3402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

701 6TH St S
Wahpeton, ND 58075-4813

Mailing address

2506 35TH Ave S Ste a
Fargo, ND 58104-8897
Phone (701) 532-3402

Other practice location 1

1104 2nd Ave S
Fargo, ND 58103-1791
Phone (701) 235-6365

Other practice location 2

513 5th Street Ct
West Fargo, ND 58078-2775
Phone (701) 532-3450

Other identifiers 1

IdentifierTypeStateIssuer
1456411MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Wahpeton

National Provider Directory

National Provider Directory
Tax ID family
Red River Human Services Foundation15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

4302 17th Ave S
Fargo, ND 58103

1104 2nd Ave S
Fargo, ND 58103
Phone (701) 235-6365

701 6th St S
Wahpeton, ND 58075
Phone (701) 591-3400

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1629677463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 35TH AVE S STE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581048897",
            "telephone_number": "701-532-3402",
            "fax_number": "701-235-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 6TH ST S",
            "city": "WAHPETON",
            "state": "ND",
            "postal_code": "580754813",
            "telephone_number": "701-591-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104 2nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581031791",
            "country_code": "US",
            "telephone_number": "701-235-6365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "513 5th Street Ct",
            "address_purpose": "LOCATION",
            "city": "West Fargo",
            "state": "ND",
            "postal_code": "580782775",
            "country_code": "US",
            "telephone_number": "701-532-3450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RED RIVER HUMAN SERVICES FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "SACKETT",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "701-532-3402",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456411",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Wahpeton",
            "affiliation": "N",
            "address_1": "701 6th St S",
            "city": "Wahpeton",
            "state": "ND",
            "country_code": "US",
            "postal_code": "580754813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wahpeton, ND

Sources for this page

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