Grand Forks Growth And Support Center

LBN: Grand Forks Growth And Support Center
Grand Forks Growth And Support Center is an health care organization with primary practice located at 2105 Gateway Dr , Grand Forks ND 58203-1412. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Grand Forks Growth And Support Center can be contacted via phone (701) 775-2566, or through Olson, Mike via phone (701) 775-2566.

Contact Information

Primary practice address
2105 Gateway Dr Grand Forks ND 58203-1412
Phone: (701) 775-2566
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Olson, Mike
Phone: (701) 775-2566

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1679170179
LBN Legal business name Grand Forks Growth And Support Center
DBA Doing business as
Authorized official Olson, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2020
Last updated Oct 7th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679170179 NPPES
North Dakota MEDICAID 1456174

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