Active NPI
Stellher Human Services Inc
- Community/Behavioral Health Agency
- Bemidji, MN
National Provider Identifier
1710197504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 714818600
- Legal business name
- STELLHER HUMAN SERVICES INC
- Practice address
- 516 Beltrami Ave NW
Bemidji, MN 56601 - Phone
- (218) 444-2845
- Fax
- (218) 444-2847
- NPI assigned
- May 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry N Ellingson
- Title
- Ceo
- Phone
- (218) 444-4657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 714818600 | MN | Primary |
Addresses
Primary practice location
516 Beltrami Ave NW
Bemidji, MN 56601
Mailing address
PO Box 430
Bemidji, MN 56619-0430
Phone (218) 444-2845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163M6ST | Other | MN | LP (PH.D.) |
National Provider Directory
National Provider Directory- Tax ID family
- Stellher Human Services Inc
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Organizations that report the same tax identification number in the National Provider Directory.
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- Community/Behavioral Health Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302134400000",
"number": "1710197504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 430",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566190430",
"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": "516 BELTRAMI AVE NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "56601",
"telephone_number": "218-444-2845",
"fax_number": "218-444-2847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELLHER HUMAN SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2011-04-07",
"status": "A",
"authorized_official_last_name": "ELLINGSON",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "218-444-4657"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MN",
"license": "714818600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LP (PH.D.)",
"identifier": "163M6ST",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.