NPIMap

Organization Active NPI

Minot Voc Adj Workshop

  • Intellectual Disabilities Intermediate Care Facility
  • Minot, ND
National Provider Identifier
1730248238
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
MINOT VOC ADJ WORKSHOP
Practice address
605 27TH St SE
Minot, ND 58701-5169
Phone
(701) 852-1014
Fax
(701) 852-1139
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Owen H Larson, LCSW
Title
President Ceo
Phone
(701) 852-1014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X ND Primary

Addresses

Primary practice location

605 27TH St SE
Minot, ND 58701-5169

Mailing address

PO Box 1030
Minot, ND 58702-1030
Phone (701) 852-1014

Other identifiers 1

IdentifierTypeStateIssuer
30820MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
Minot Vocational Adjustment Workshop10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730248238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587021030",
            "telephone_number": "701-852-1014",
            "fax_number": "701-852-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 27TH ST SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587015169",
            "telephone_number": "701-852-1014",
            "fax_number": "701-852-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINOT VOC ADJ WORKSHOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "701-852-1014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30820",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.