Anne Carlsen Center for Children
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Jamestown, ND
NPI 1679758486 · NPPES record last updated Feb 18, 2021
Key facts
- NPI
- 1679758486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- ANNE CARLSEN CENTER FOR CHILDREN
- Practice address
- 603 3Rd St NW
Jamestown, ND 58401-2965 - Phone
- (701) 252-3850
- Fax
- (701) 952-5154
- NPI assigned
- Dec 31, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- ANNE CARLSEN CENTER FOR CHILDREN
Authorized official
- Name
- Tim Eissinger
- Title
- Ceo
- Phone
- (701) 952-5187
Corporate family (same tax ID) 9
National Provider Directory
- Tax ID family
- Anne Carlsen Center for Children
- Part of
- Anne Carlsen Center for Children
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
603 3Rd St NW
Jamestown, ND 58401-2965
Mailing address
701 3Rd St NW
Jamestown, ND 58401-2963
Phone (701) 252-3850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30874 | 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 for Children
- Anne Center for Children
- Kaiann Louise Arellano
- Curtis A Armstrong
- Spencer Randolph Arndt
All providers in Jamestown, ND · Intellectual Disabilities Intermediate Care Facility 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 Feb 18, 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.