Cavalier County Senior Meals & Services

Primary specialty

BusTaxonomy code 347B00000X

License

G11306 Issued in ND

Legal business name

CAVALIER COUNTY SENIOR MEALS & SERVICES

Practice address

211 8TH Ave
Langdon, ND 58249-2637

Phone

(701) 256-2828

Fax

(701) 256-2838

NPI assigned

Nov 10, 2014

Last updated

Nov 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karrie Lynn Mikkelsen

Title

Director

Phone

(701) 256-2828

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1831595487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 8TH AVE",
            "city": "LANGDON",
            "state": "ND",
            "postal_code": "582492637",
            "telephone_number": "701-256-2828",
            "fax_number": "701-256-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 8TH AVE",
            "city": "LANGDON",
            "state": "ND",
            "postal_code": "582492637",
            "telephone_number": "701-256-2828",
            "fax_number": "701-256-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALIER COUNTY SENIOR MEALS & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "MIKKELSEN",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-256-2828"
    },
    "taxonomies": [
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "ND",
            "license": "KDJ239",
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "ND",
            "license": "G11306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53954",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cavalier County Health District
• Cavalier County Memorial Hospital Association (Langdon Prairie Health)
• Cavalier County Memorial Hospital Association (Langdon Prairie Health)
• Cavalier County Memorial Hospital Association (Cavalier County Memorial Hospital & Clinics)
• Cavalier County Memorial Hospital Association (Langdon Prairie Health)
• Cavalier County Social Services
• Michele Marie Christianson
• Susan Crockett
• Julie Davis
• Richard H Eklof, OD

• Bus in Langdon, ND
• Providers in Langdon, ND by specialty
• Bus in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.