ANNE CARLSEN CENTER – NPI #1386829190
Intermediate Care Facility, Intellectual Disabilities

An intermediate care facility providing services for individuals with intellectual disabilities.

Health Care Provider Taxonomy Code for Intermediate Care Facility, Intellectual Disabilities

ANNE CARLSEN CENTER is a facility located in JAMESTOWN, ND. NPPES has assigned the NPI number 1386829190 to ANNE CARLSEN CENTER on December 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 315P00000X from the Health Care Provider Taxonomy code set, which is classified as Intermediate Care Facility, Intellectual Disabilities.

The NPI profile was previously updated about 5 years ago on Feb 18, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANNE CARLSEN CENTER below.

NPI Profile for
ANNE CARLSEN CENTER

NPI Number
1386829190
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ANNE CARLSEN CENTER
Primary location
605 3RD ST NW
JAMESTOWN, ND 58401-2965
Phone: (701) 252-3850 Fax:
Mailing address
701 3RD ST NW
JAMESTOWN, ND 58401-2963
Phone: (701) 252-3850 Fax: (701) 952-5154
Organization Subpart
Yes - ANNE CARLSEN CENTER is subpart of another organization.
Authorized Official
TIM EISSINGER
CEO
Phone: (701) 952-5187
Updated
Certification Date
Feb 18, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ANNE CARLSEN CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDND30875
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
315P00000X
- Intermediate Care Facility, Intellectual Disabilities (Primary)		 ND

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.