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Contact Information

DAKOTA BOYS & GIRLS RANCH ASSOCIATION
6301 19TH AVE NW
MINOT, ND58703-8824
 Phone: 701-839-7888
 Fax: 701-852-1190
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Residential Treatment Facility

323P00000X
Indicates primary specialty

NPI Profile & details for DAKOTA BOYS & GIRLS RANCH ASSOCIATION

NPI # 1376501262
LBN Legal business name DAKOTA BOYS & GIRLS RANCH ASSOCIATION
Authorized official TAMMY MORENO - (CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2006
Last updated 05/05/2026 - About a month ago
Identifiers
ND Medicaid 18078
ND Medicaid 50521
ND Medicaid 52146
ND Medicaid 54710
ND Medicaid 54715
ND Medicaid 54725
ND Medicaid 54730
ND Medicaid 57550
ND Other 3913 DAKOTA BOYS RANCH
ND Other 10348 FARGO RTC
ND Other 12344 WESTERN PLAINS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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