Provider Demographics
NPI:1255742698
Name:MORTON COUNTY SOCIAL SERVICES
Entity type:Organization
Organization Name:MORTON COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT TECHNICIAN II
Authorized Official - Prefix:
Authorized Official - First Name:PATSI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SEERUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-667-3395
Mailing Address - Street 1:200 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:MANDAN
Mailing Address - State:ND
Mailing Address - Zip Code:58554-3124
Mailing Address - Country:US
Mailing Address - Phone:701-667-3395
Mailing Address - Fax:701-667-3384
Practice Address - Street 1:200 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-3124
Practice Address - Country:US
Practice Address - Phone:701-667-3395
Practice Address - Fax:701-667-3384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND50740Medicaid