Anne Carlsen Center
Organization Active NPI Community/Behavioral Health Agency · Jamestown, ND
NPI 1659966877 · NPPES record last updated Mar 9, 2021
Key facts
- NPI
- 1659966877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ANNE CARLSEN CENTER
- Practice address
- 701 3Rd St NW
Jamestown, ND 58401-2963 - Phone
- (800) 568-5175
- NPI assigned
- Mar 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Kristin D Syverson
- Title
- Cfo
- Phone
- (701) 269-8166
Corporate family (same tax ID) 9
Practitioners 51
-
Jessica Azure, APRN, FNP-C
-
Alicia Bullinger, PT, DPT
-
Roberta L Carrlson, OTRL
-
Cassandra Lyn Hovet, MSW, LCSW
National Provider Directory
- Tax ID family
- Anne Carlsen Center for Children
Locations
1929 N Washington St
Ste Gg
Bismarck, ND 58501
Phone (701) 751-2315
2016 S Washington St
Grand Forks, ND 58201
Phone (701) 757-4200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
701 3Rd St NW
Jamestown, ND 58401-2963
Mailing address
701 3Rd St NW
Jamestown, ND 58401-2963
Other practice location 1
2800 Main Ave
Fargo, ND 58103-6818
Phone (701) 364-2663
Other practice location 2
2016 S Washington St
Grand Forks, ND 58201-6342
Phone (701) 757-4200
Other practice location 3
1929 N Washington St Ste Gg
Bismarck, ND 58501-1669
Phone (701) 751-3732
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85522 | Medicaid | ND |
Other providers in Jamestown, ND
- Anne Carlsen Center
- Anne Carlsen Center
- Anne Carlsen Center
- Anne Carlsen Center
- Anne Carlsen Center
- Anne Carlsen Center
- Anne Carlsen Center for Children
- Anne Carlsen Center for Children
- Anne Center for Children
- Kaiann Louise Arellano
All providers in Jamestown, ND · Community/Behavioral Health Agency in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.