Golden Valley Billings Multi-County Social Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

38817 Issued in ND

Legal business name

GOLDEN VALLEY BILLINGS MULTI-COUNTY SOCIAL SERVICES

Practice address

67 First Street SE
Box 279
Beach, ND 58621-0279

Phone

(701) 872-4121

Fax

(701) 872-3141

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By 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

Mr. Richard Fedje

Title

Director

Phone

(701) 872-4121

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861694796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 FIRST STREET SE",
            "address_2": "BOX 279",
            "city": "BEACH",
            "state": "ND",
            "postal_code": "586210279",
            "telephone_number": "701-872-4121",
            "fax_number": "701-872-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 FIRST STREET SE",
            "address_2": "BOX 279",
            "city": "BEACH",
            "state": "ND",
            "postal_code": "586210279",
            "telephone_number": "701-872-4121",
            "fax_number": "701-872-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN VALLEY BILLINGS MULTI-COUNTY SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEDJE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-872-4121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ND",
            "license": "38817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038817",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Beach, ND
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• 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.