ST. JAMES' OF NORTH DAKOTA, LLC
NPI 1891069191
Clinic/Center - Adult Mental Health in Wishek, ND

NPI Status: Active since March 05, 2012

Contact Information

1007 4TH AVE S
WISHEK, ND
ZIP 58495
Phone: (701) 751-8008

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About ST. JAMES' OF NORTH DAKOTA, LLC

This page provides the complete NPI Profile along with additional information for St. James' Of North Dakota, Llc, a provider established in Wishek, North Dakota operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1891069191 assigned on March 2012. The practitioner's primary taxonomy code is 261QM0850X with license number 7174 (ND). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Emmet Michael Kenney Jr. Md (President/ceo)

NPI
1891069191
Provider Name
ST. JAMES' OF NORTH DAKOTA, LLC
Entity Type
Organization
Location Address
1007 4TH AVE S WISHEK, ND 58495
Location Phone
(701) 751-8008
Mailing Address
3120Z 25TH ST S # 344 FARGO, ND 58103
Mailing Phone
(701) 751-8008
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-05-2012
Last Update Date
03-05-2012
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
7174
License State
ND
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental Health

7174 (ND)

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

EMMET MICHAEL KENNEY JR. MD

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(701) 751-8008

Reviews for ST. JAMES' OF NORTH DAKOTA, LLC

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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.
1891069191
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281810618118
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 8 + 1 + 0 + 6 + 1 + 8 + 1 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1891069191 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619138955 REBECCA MAE BENDER DPT
Individual
Physical Therapist1007 4TH AVE S
WISHEK, ND 58495
(701) 452-3143
1861707531 MAUREEN ANN KOSIAK PAC
Individual
Physician Assistant1007 4TH AVE S
WISHEK, ND 58495
(701) 452-2364
1790117687 KRISTEN BURGAD HEIDRICH
Individual
Physical Therapist1007 4TH AVE S
WISHEK, ND 58495
(701) 452-3143
1831666197MR. JOSEPH GIRAMATA APRN
Individual
Nurse Practitioner (Family)1007 4TH AVE S
WISHEK, ND 58495
(701) 452-2326
1003433301MRS. TRINA ELIZABETH SCHILLING FNP
Individual
Nurse Practitioner (Family)1007 4TH AVE S
WISHEK, ND 58495
(701) 452-3156
1285738427 ANGELA M PARKER P.A.
Individual
Physician Assistant1007 4TH AVE S
WISHEK, ND 58495
(701) 452-3207
1043949183 JAYME MARTELL DNP
Individual
Nurse Practitioner (Family)1007 4TH AVE S
WISHEK, ND 58495
(701) 452-2326
1295767994 PAULETTE BENSON FNP PAC
Individual
Nurse Practitioner (Family)1007 4TH AVE S
WISHEK, ND 58495
(701) 452-2364
1295772804WISHEK HOSPITAL-CLINIC ASSOCIATION
Organization
General Acute Care Hospital (Critical Access)1007 4TH AVE S
WISHEK, ND 58495
(701) 452-3207
1992839526WISHEK HOSPITAL-CLINIC ASSOCIATION
Organization
Medicare Defined Swing Bed Unit1007 4TH AVE S
WISHEK, ND 58495
(701) 452-2326
1710709100 MADISON HOLM
Individual
Physician Assistant (Medical)1007 4TH AVE S
WISHEK, ND 58495
(701) 452-2326

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891069191, enumerated in the NPI registry as an "organization" on March 05, 2012

The provider is located at 1007 4th Ave S Wishek, Nd 58495 and the phone number is (701) 751-8008

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

This NPI record was last updated on March 05, 2012. 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].
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