City of Grand Forks

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

CITY OF GRAND FORKS

Doing business as

Grand Forks Public Health Department

Practice address

151 S 4TH St
Suite N301
Grand Forks, ND 58201-4715

Phone

(701) 787-8100

Fax

(701) 787-8145

NPI assigned

Aug 31, 2006

Last updated

Aug 9, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY OF GRAND FORKSAs reported in NPPES

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

Authorized official

Name

Ms. Debbie Swanson

Title

Director

Phone

(701) 787-8100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Grand Forks Public Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Grand Forks Public Heal

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1801907720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 S 4TH ST",
            "address_2": "SUITE N301",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014715",
            "telephone_number": "701-787-8100",
            "fax_number": "701-787-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S 4TH ST",
            "address_2": "SUITE N301",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014715",
            "telephone_number": "701-787-8100",
            "fax_number": "701-787-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GRAND FORKS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF GRAND FORKS",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-787-8100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57984",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "600000426",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Forks Public Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony G Chu, MD
• Charles Champ Churchill
• Brandon Ciak, DO
• Stephen V. Cisco
• Ashley Citrowske, RDN, LRD
• Lindsay Ann Clarksean, RN
• Kayla Clausen, FNP-C
• Ilse Marielle Clauson, MOT, OTR/L
• John E Clayburgh, DDS
• Robert H Clayburgh, MD

• Public Health or Welfare Agency in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Public Health or Welfare Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.