Active NPI
Western Plains Public Health
- Public Health or Welfare Agency
- Mandan, ND
National Provider Identifier
1659379436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- WESTERN PLAINS PUBLIC HEALTH
- Practice address
- 403 Burlington St SE
Mandan, ND 58554-4271 - Phone
- (701) 667-3370
- Fax
- (701) 667-3371
- NPI assigned
- Jul 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Ourada
- Title
- Administrator
- Phone
- (701) 667-3370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
403 Burlington St SE
Mandan, ND 58554-4271
Mailing address
403 Burlington St SE
Mandan, ND 58554-4271
Phone (701) 667-3370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600000303 | Other | ND | RAILROAD MEDICARE PART B |
| 057988 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041006000712 | ND | Part B Supplier - Public Health/Welfare Agency | 9335108281 | Practice locations: Mandan, ND |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D0695365 | Western Plains Public Health | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
210 2nd Ave NW
Mandan, ND 58554
Phone (701) 667-3395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680220800000",
"number": "1659379436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 BURLINGTON ST SE",
"city": "MANDAN",
"state": "ND",
"postal_code": "585544271",
"telephone_number": "701-667-3370",
"fax_number": "701-667-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BURLINGTON ST SE",
"city": "MANDAN",
"state": "ND",
"postal_code": "585544271",
"telephone_number": "701-667-3370",
"fax_number": "701-667-3371"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN PLAINS PUBLIC HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-14",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A",
"authorized_official_last_name": "OURADA",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "701-667-3370"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PART B",
"identifier": "600000303",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "057988",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.