| St James Of Nd, Llc | |
|
3000 North 14th Street Suite 2a Bismarck ND 58503 | |
| (701) 361-6640 | |
| Not Available |
| Full Name | St James Of Nd, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 3000 North 14th Street, Bismarck, North Dakota |
| Authorized Official Name and Position | Emmet Michael Kenney (PRESIDENT) |
| Authorized Official Contact | 7013616640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St James Of Nd, Llc 3120 25th St S Ste Z #344 Fargo ND 58103-6164 Ph: (701) 365-4467 | St James Of Nd, Llc 3000 North 14th Street Suite 2a Bismarck ND 58503 Ph: (701) 361-6640 |
| NPI Number | 1538463401 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 04/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538463401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 7174 (North Dakota) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 7174 (North Dakota) | Secondary |
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