Organization Active NPI

Rural Mental Health Consortium

  • Adolescent and Children Mental Health Clinic/Center
  • Bottineau, ND
National Provider Identifier
1679597264
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
RURAL MENTAL HEALTH CONSORTIUM
Practice address
316 Ohmer Street
Bottineau, ND 58318-1045
Phone
(701) 228-9441
Fax
(701) 385-4295
NPI assigned
Jul 27, 2006
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Mr. Christopher R. Albertson
Title
President
Phone
(701) 550-1371

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

316 Ohmer Street
Bottineau, ND 58318-1045

Mailing address

316 Ohmer Street
Bottineau, ND 58318-1045
Phone (701) 228-9441

Other identifiers 1

IdentifierTypeStateIssuer
10711MedicaidND

National Provider Directory

National Provider Directory

Locations

307 5th Ave SE
Ste 201
Minot, ND 58701

307 5th Ave SE
Ste 502
Minot, ND 58701

Practitioners & affiliated clinicians

Practitioners 1

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1679597264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 OHMER STREET",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181045",
            "telephone_number": "701-228-9441",
            "fax_number": "701-385-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 OHMER STREET",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181045",
            "telephone_number": "701-228-9441",
            "fax_number": "701-385-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL MENTAL HEALTH CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "ALBERTSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-550-1371",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10711",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bottineau, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.