| Support Systems, Inc. | |
|
600 S 2nd St Ste 105 Bismarck ND 58504-5701 | |
| (701) 255-6503 | |
| (701) 255-1276 |
| Full Name | Support Systems, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 600 S 2nd St Ste 105, Bismarck, North Dakota |
| Authorized Official Name and Position | Donald Wald (CEO) |
| Authorized Official Contact | 7012556503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Support Systems, Inc. 600 S 2nd St Ste 105 Bismarck ND 58504-5701 Ph: (701) 255-6503 | Support Systems, Inc. 600 S 2nd St Ste 105 Bismarck ND 58504-5701 Ph: (701) 255-6503 |
| NPI Number | 1902404957 |
|---|---|
| Provider Enumeration Date | 10/13/2020 |
| Last Update Date | 01/19/2021 |
| Certification Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902404957 | NPI | - | NPPES |
| 1456245 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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