Provider Demographics
NPI:1952909541
Name:STUTSMAN COUNTY SOCIAL SERVICES
Entity Type:Organization
Organization Name:STUTSMAN COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT TECHNICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-952-6850
Mailing Address - Street 1:116 1ST ST E
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:ND
Mailing Address - Zip Code:58401-4253
Mailing Address - Country:US
Mailing Address - Phone:701-952-6850
Mailing Address - Fax:
Practice Address - Street 1:116 1ST ST E
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:ND
Practice Address - Zip Code:58401-4253
Practice Address - Country:US
Practice Address - Phone:701-952-6850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care