NPIMap

Organization Active NPI

Stellher Human Services, Inc.

  • Community/Behavioral Health Agency
  • Bagley, MN
National Provider Identifier
1700965290
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1042734-1-CDT Issued in MN
Legal business name
STELLHER HUMAN SERVICES, INC.
Practice address
202 Bagley Ave NW
Bagley School District #162
Bagley, MN 56621-8759
Phone
(218) 444-2845
Fax
(218) 444-2847
NPI assigned
Nov 3, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Steve M. Jackelen, M.S.
Title
Assistant Director
Phone
(218) 751-5919

National Provider Directory

National Provider Directory
Tax ID family
Stellher Human Services Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

202 Bagley Ave NW
#162
Bagley, MN 56621

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1042734-1-CDT MN Primary

Addresses

NPPES NPI Registry

Primary practice location

202 Bagley Ave NW
Bagley School District #162
Bagley, MN 56621-8759

Mailing address

514 Beltrami Ave NW
Bemidji, MN 56601-3010
Phone (218) 444-2845

Other names 1

NPPES NPI Registry
  • Chemical Health Program - Bagley Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700965290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 BELTRAMI AVE NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566013010",
            "telephone_number": "218-444-2845",
            "fax_number": "218-444-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BAGLEY AVE NW",
            "address_2": "BAGLEY SCHOOL DISTRICT #162",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566218759",
            "telephone_number": "218-444-2845",
            "fax_number": "218-444-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLHER HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JACKELEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "218-751-5919",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "1042734-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chemical Health Program - Bagley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bagley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.