SOUTHEAST HUMAN SERVICE CENTER
NPI 1245284850
Clinic/Center - Developmental Disabilities in Fargo, ND

NPI Status: Active since May 19, 2006

Contact Information

2624 9TH AVE S
FARGO, ND
ZIP 58103
Phone: (701) 298-4500

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About SOUTHEAST HUMAN SERVICE CENTER

This page provides the complete NPI Profile along with additional information for Southeast Human Service Center, a provider established in Fargo, North Dakota operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1245284850 assigned on May 2006. The practitioner's primary taxonomy code is 261QD1600X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Donna Aukland (Assistant Cfo - Dhs)

NPI
1245284850
Provider Name
SOUTHEAST HUMAN SERVICE CENTER
Entity Type
Organization
Location Address
2624 9TH AVE S FARGO, ND 58103
Location Phone
(701) 298-4500
Mailing Address
2624 9TH AVE S FARGO, ND 58103
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2006
Last Update Date
12-10-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONNA AUKLAND

Authorized Official Title
ASSISTANT CFO - DHS
Authorized Official Phone
(701) 328-4924

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
032318MEDICAID (05)ND 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245284850
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285488810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 4 + 8 + 8 + 8 + 1 + 0 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1245284850 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053348573 DEONNE J VARRIANO LICSW
Individual
Social Worker (Clinical)2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1881627727DR. ANDREW J MCLEAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1578596789 RUTH M DENTON-GRABER LPCC
Individual
Counselor2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1023041241 DALE A CARRIER LPCC
Individual
Counselor2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1164457040DR. STACEY L BENSON PSY D
Individual
Psychologist2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1174530430 DOUGLAS L RUMPZA LAC
Individual
Counselor (Addiction (Substance Use Disorder))2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1255348504MS. MELODY R PETERSON LAC
Individual
Counselor (Addiction (Substance Use Disorder))2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1255348991 STEPHEN E ILLING LAC
Individual
Counselor (Addiction (Substance Use Disorder))2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1396752036 MARGRET A VOLK LAC
Individual
Counselor (Addiction (Substance Use Disorder))2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1710994355MS. JULIE M FAY LAC, M.ED
Individual
Counselor (Addiction (Substance Use Disorder))2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1821005471 MARGARET E BOREN LAC
Individual
Counselor (Addiction (Substance Use Disorder))2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1134136799MRS. CARLEE J ECKART LAC
Individual
Counselor (Addiction (Substance Use Disorder))2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1588676928 SHARI A BREZNAY
Individual
Registered Nurse2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1568474922MS. MELODEE S NOWATZKI M.S.
Individual
Psychologist (School)2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1740382456DR. LAURA ANN KROETSCH MD
Individual
Psychiatry & Neurology (Psychiatry)2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1992891634 SUSAN M SCHMIDT RN
Individual
Registered Nurse2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1669568390MS. CAROLYN I PELOUBET RN, LSW
Individual
Social Worker2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1316033046MRS. SHEILA A MCDONALD RN
Individual
Registered Nurse2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1033205786MS. LISA J FAULKNER RN
Individual
Registered Nurse2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500
1922182880MRS. VICKIE R MEYER R.N.
Individual
Registered Nurse2624 9TH AVE S
FARGO, ND 58103
(701) 298-4500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245284850, enumerated in the NPI registry as an "organization" on May 19, 2006

The provider is located at 2624 9th Ave S Fargo, Nd 58103 and the phone number is (701) 298-4500

This medical organization specializes in Clinic/Center with taxonomy code 261QD1600X with a focus in Developmental Disabilities

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.