Provider Demographics
NPI:1811387582
Name:RICHLAND COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:RICHLAND COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HASBARGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-642-7751
Mailing Address - Street 1:413 3RD AVE N
Mailing Address - Street 2:
Mailing Address - City:WAHPETON
Mailing Address - State:ND
Mailing Address - Zip Code:58075-4427
Mailing Address - Country:US
Mailing Address - Phone:701-642-7751
Mailing Address - Fax:701-642-7826
Practice Address - Street 1:413 3RD AVE N
Practice Address - Street 2:
Practice Address - City:WAHPETON
Practice Address - State:ND
Practice Address - Zip Code:58075-4427
Practice Address - Country:US
Practice Address - Phone:701-642-7751
Practice Address - Fax:701-642-7826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND251B00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND38839Medicaid