NPIMap

Organization Active NPI

State of North Dakota

  • Case Management Agency
  • Bismarck, ND
National Provider Identifier
1689894263
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
STATE OF NORTH DAKOTA
Practice address
3100 Railroad Ave
Bismarck, ND 58502-1898
Phone
(701) 328-6674
NPI assigned
Apr 26, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF NORTH DAKOTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Lisa Bjergaard
Title
Director
Phone
(701) 328-6674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3100 Railroad Ave
Bismarck, ND 58502-1898

Mailing address

3100 Railroad Ave
PO Box 1898
Bismarck, ND 58502-1898
Phone (701) 328-6674

Other identifiers 1

IdentifierTypeStateIssuer
51517MedicaidND

Other names 1

  • Division of Juvenile Services, DOCR Other name

National Provider Directory

National Provider Directory
Tax ID family
Lake Region HSC8 organizations share this tax ID, including this one
Part of
Lake Region HSC

Other organizations with this tax ID 7

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

Locations

3100 Railroad Ave
Bismarck, ND 58501
Phone (701) 328-6389

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1689894263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RAILROAD AVE",
            "address_2": "PO BOX 1898",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585021898",
            "telephone_number": "701-328-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RAILROAD AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585021898",
            "telephone_number": "701-328-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NORTH DAKOTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NORTH DAKOTA",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BJERGAARD",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-328-6674"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51517",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Division of Juvenile Services, DOCR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.