Provider Demographics
NPI:1215190574
Name:STATE OF ND CENTRAL OFFICE OF MANAGEMENT & BUDGET
Entity Type:Organization
Organization Name:STATE OF ND CENTRAL OFFICE OF MANAGEMENT & BUDGET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEDICAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:MAGGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-328-2322
Mailing Address - Street 1:600 EAST BOULEVARD AVENUE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58505-0250
Mailing Address - Country:US
Mailing Address - Phone:701-328-2322
Mailing Address - Fax:701-328-1544
Practice Address - Street 1:600 EAST BOULEVARD AVENUE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58505-0250
Practice Address - Country:US
Practice Address - Phone:701-328-2322
Practice Address - Fax:701-328-1544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare