provider specialty npi taxonomy i/g provider type ... type description specialty ... 1003847211...
TRANSCRIPT
ND Medicaid Provider Taxonomy Listing-Group
NPI Taxonomy I/GProvider
TypeProvider Type Description
Specialty
CodeSpecialty Description
1003009457 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1003052952 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1003090630 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1003199829 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1003206772 171M00000X G 017 Other Service Providers 468 County Social Service Office
1003228180 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1003232976 282N00000X G 028 Hospital 091 General Acute Care Hospital
1003275348 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1003806969 341600000X G 034 Transportation 132 Ambulance
1003809948 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1003816505 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1003832783 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1003847211 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1003851171 282N00000X G 028 Hospital 091 General Acute Care Hospital
1003861527 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1003902396 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1003903840 251G00000X G 025 Agencies 454 HOSPICE
1003906942 3336M0002X G 033 Supplier 478 Mail Order Pharmacy
1003906942 3336S0011X G 033 Supplier 482 Specialty Pharmacy
1003906942 333600000X G 033 Supplier 128 Pharmacy
1003906942 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1003906942 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1003913518 275N00000X G 027 Hospital Units 196 Swing Bed
1003929944 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1003935024 341600000X G 034 Transportation 132 Ambulance
1003949892 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1003950023 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1003986092 341600000X G 034 Transportation 132 Ambulance
1003992967 275N00000X G 027 Hospital Units 196 Swing Bed
1013001932 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1013002195 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1013009232 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1013018910 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1013021500 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1013029024 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1013029024 333600000X G 033 Supplier 128 Pharmacy
1013032663 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1013052992 341600000X G 034 Transportation 132 Ambulance
1013058718 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1013098797 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1013124098 251G00000X G 025 Agencies 454 HOSPICE
1013143296 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1013164862 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1013238112 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1013269257 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1013269257 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1013280403 333600000X G 033 Supplier 128 Pharmacy
1013285337 251S00000X G 025 Agencies 357 Community Behavior Health
1013299882 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1013303361 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1013326461 261Q00000X G 047 Indian Health Services/638 Tribal 359 Clinic/Center
1013326768 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1013388065 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1013921733 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1013946292 251G00000X G 025 Agencies 454 HOSPICE
1013960798 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1013961820 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1013980598 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1013981893 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1013994359 282N00000X G 028 Hospital 091 General Acute Care Hospital
1013994359 282N00000X G 028 Hospital 091 General Acute Care Hospital
1023010675 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1023011590 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1023032588 282N00000X G 028 Hospital 091 General Acute Care Hospital
1023036050 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1023062155 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1023069119 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1023076932 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1023083714 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1023086055 282N00000X G 028 Hospital 091 General Acute Care Hospital
1023086055 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1023086055 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1023107638 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1023107638 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1023107638 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1023139359 282N00000X G 028 Hospital 091 General Acute Care Hospital
1023154390 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1023173796 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1023193554 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1023200896 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1023209681 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1023286614 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1023319407 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1023331345 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1023359072 341600000X G 034 Transportation 132 Ambulance
1023463320 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1023493293 314000000X G 031 Nursing & Custodial Care Fac 438 Gero Psych Nursing Home
1023550118 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1023561123 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1033112230 282NC2000X G 028 Hospital 517 General Acute Care Hospital; Children
1033129622 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1033153895 282N00000X G 028 Hospital 091 General Acute Care Hospital
1033159603 282N00000X G 028 Hospital 091 General Acute Care Hospital
1033180153 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1033183942 282N00000X G 028 Hospital 091 General Acute Care Hospital
1033195912 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1033208509 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1033208640 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1033208640 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1033208640 332B00000X G 033 Supplier 113 DME & Medical Suppliers
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1033257704 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1033257704 332S00000X G 033 Supplier 383 Hearing Aid Equipment
1033281050 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1033292875 275N00000X G 027 Hospital Units 196 Swing Bed
1033306998 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1033395280 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1033412598 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1033422613 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1033443858 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1033475868 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1033506076 171M00000X G 017 Other Service Providers 468 County Social Service Office
1033512660 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1033516695 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1033522792 171M00000X G 017 Other Service Providers 468 County Social Service Office
1033558168 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1033596184 171M00000X G 017 Other Service Providers 468 County Social Service Office
1033617238 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1043210925 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1043218753 282N00000X G 028 Hospital 091 General Acute Care Hospital
1043218753 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1043224744 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1043229776 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1043232069 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1043232721 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1043243272 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1043260722 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1043269798 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1043269798 282N00000X G 028 Hospital 091 General Acute Care Hospital
1043269798 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1043271885 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1043280696 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1043291156 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1043291156 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1043309552 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1043309651 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1043309651 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1043309651 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1043316961 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1043321334 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1043378268 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1043384399 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1043396781 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1043418510 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1043451123 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1043451370 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1043470362 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1043474729 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1043478159 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1043490790 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1043490790 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1043504574 333600000X G 033 Supplier 128 Pharmacy
1043504574 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1043504574 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1043512031 333600000X G 033 Supplier 128 Pharmacy
1043514367 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1043583537 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1043599590 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1043601065 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1043602386 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1043628845 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1043649486 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1043676257 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1053316497 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1053354985 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1053357905 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1053359729 282N00000X G 028 Hospital 091 General Acute Care Hospital
1053360594 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1053393777 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1053400523 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1053400655 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1053400655 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1053401984 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1053401984 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1053414565 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1053431155 341600000X G 034 Transportation 132 Ambulance
1053453688 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1053475020 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1053475020 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1053475020 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1053491860 341600000X G 034 Transportation 132 Ambulance
1053502773 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1053591537 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1053667493 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1053680678 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1053765750 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1053795187 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1053798892 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1053850552 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1063406684 282N00000X G 028 Hospital 091 General Acute Care Hospital
1063419943 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1063457380 282N00000X G 028 Hospital 091 General Acute Care Hospital
1063497451 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1063510097 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1063525103 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1063551844 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1063602050 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1063613438 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1063624328 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1063634210 275N00000X G 027 Hospital Units 196 Swing Bed
1063659183 333600000X G 033 Supplier 128 Pharmacy
1063663607 3336H0001X G 033 Supplier 475 Home Infusion Therapy Pharmacy
1063678779 332800000X G 033 Supplier 486 IHS/Tribal/Urbn Indn Hlth (I/T/U) Pharm
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1063690774 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1063706489 275N00000X G 027 Hospital Units 196 Swing Bed
1063747012 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1063754638 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1063813053 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1063832137 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1063839496 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1063850436 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1063861037 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1073023453 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1073511762 282N00000X G 028 Hospital 091 General Acute Care Hospital
1073516357 341600000X G 034 Transportation 132 Ambulance
1073516357 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1073520003 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1073569794 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1073638565 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1073668182 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1073673414 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1073677191 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1073698262 275N00000X G 027 Hospital Units 196 Swing Bed
1073698460 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1073708533 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1073793725 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1073793725 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1073910741 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1073934469 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1073935862 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1073994984 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1083051817 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1083121792 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1083620199 275N00000X G 027 Hospital Units 196 Swing Bed
1083635247 261QM1200X G 026 Ambulatory Health Care Facilities 395 Magnetic Resonance Imaging (MRI)
1083638357 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1083638761 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1083653752 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1083655997 282N00000X G 028 Hospital 091 General Acute Care Hospital
1083655997 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1083659569 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1083672950 282N00000X G 028 Hospital 091 General Acute Care Hospital
1083681712 282N00000X G 028 Hospital 091 General Acute Care Hospital
1083692941 282N00000X G 028 Hospital 091 General Acute Care Hospital
1083736888 273Y00000X G 027 Hospital Units 363 Rehabilitation Unit; Hospital Unit
1083738835 332H00000X G 033 Supplier 384 Eyewear Supplier
1083758189 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1083763650 333600000X G 033 Supplier 128 Pharmacy
1083775688 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1083791024 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1083793749 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1083794432 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1083797252 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1083813992 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1083888515 282N00000X G 028 Hospital 091 General Acute Care Hospital
1083889430 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1083928048 251E00000X G 025 Agencies 082 Home Health Agency
1083972160 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1093014235 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1093090342 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1093124166 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1093134017 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1093150294 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1093171977 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1093172827 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1093190829 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1093192593 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1093213464 171M00000X G 017 Other Service Providers 468 County Social Service Office
1093713372 282N00000X G 028 Hospital 091 General Acute Care Hospital
1093713372 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1093737066 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1093759177 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1093764599 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1093778292 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1093782633 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1093792350 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1093828766 341600000X G 034 Transportation 132 Ambulance
1093862393 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1093875825 341600000X G 034 Transportation 132 Ambulance
1093891095 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1093910762 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1093910838 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1093937203 261QP2300X G 026 Ambulatory Health Care Facilities 413 Primary Care
1093997868 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1104016088 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1104018373 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1104042266 251B00000X G 047 Indian Health Services/638 Tribal 035 Case Management
1104045202 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1104081116 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1104092980 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1104095751 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1104108695 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1104125483 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1104162924 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1104253020 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1104255215 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1104836691 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1104851625 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1104862606 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1104863505 261QS0112X G 026 Ambulatory Health Care Facilities 212 Oral Maxillofacial Surgery
1104892892 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1104913904 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1104927094 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1104931815 341600000X G 034 Transportation 132 Ambulance
1104990373 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1114016722 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1114016722 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1114016722 3336H0001X G 033 Supplier 475 Home Infusion Therapy Pharmacy
1114028503 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1114037744 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1114045465 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1114055324 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1114059805 322D00000X G 032 Residential Treatment Facility 264 RTF Emotionally Disturbed Children
1114071040 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1114081270 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1114119989 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1114142569 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1114222817 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1114286523 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1114286986 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1114305380 311Z00000X G 043 Basic Care 079 Basic Care
1114308285 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1114343423 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1114361177 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1114361177 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1114370087 335E00000X G 033 Supplier 347 Prosthetic/Orthotic Supplier
1114472891 261Q00000X G 047 Indian Health Services/638 Tribal 359 Clinic/Center
1114479375 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1114914140 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1114925120 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1114925120 311Z00000X G 043 Basic Care 079 Basic Care
1114943610 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1114953627 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1124019419 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1124019419 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1124032487 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1124038716 261QE0002X G 026 Ambulatory Health Care Facilities 271 Emergency Care
1124041389 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1124051230 332B00000X G 033 Supplier 113 DME & Medical Suppliers
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1124058326 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1124060884 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1124072525 251S00000X G 025 Agencies 453 Human Service Center
1124092333 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1124100524 341600000X G 034 Transportation 132 Ambulance
1124117692 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1124117734 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1124117734 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1124118583 341600000X G 034 Transportation 132 Ambulance
1124122783 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1124122783 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1124125109 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1124135546 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1124166897 333600000X G 033 Supplier 128 Pharmacy
1124175864 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1124200688 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1124228176 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1124284914 332800000X G 033 Supplier 486 IHS/Tribal/Urbn Indn Hlth (I/T/U) Pharm
1124341672 282N00000X G 028 Hospital 091 General Acute Care Hospital
1124363809 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1124405030 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1124459391 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1124468590 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1124492327 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1124571294 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1134110463 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1134127749 282N00000X G 028 Hospital 091 General Acute Care Hospital
1134139215 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1134140825 282N00000X G 028 Hospital 091 General Acute Care Hospital
1134140825 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1134175763 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1134178999 282N00000X G 028 Hospital 091 General Acute Care Hospital
1134183171 282N00000X G 028 Hospital 091 General Acute Care Hospital
1134269392 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1134277494 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1134280860 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1134280860 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1134280860 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1134305162 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1134305162 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1134310857 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1134345457 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1134345457 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1134352917 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1134378946 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1134426463 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1134429053 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1134437932 311Z00000X G 043 Basic Care 079 Basic Care
1134507551 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1134523004 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1134536360 171M00000X G 017 Other Service Providers 468 County Social Service Office
1134649734 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1134669609 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1134671936 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1144218769 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1144218769 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1144231705 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1144243270 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1144260589 251E00000X G 025 Agencies 082 Home Health Agency
1144274879 282N00000X G 028 Hospital 091 General Acute Care Hospital
1144277484 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1144313743 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1144329152 282N00000X G 028 Hospital 091 General Acute Care Hospital
1144357211 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1144368085 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1144381187 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1144381328 273R00000X G 027 Hospital Units 362 Psychiatric Unit:;Hospital Unit
1144391632 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1144397134 282N00000X G 028 Hospital 091 General Acute Care Hospital
1144401514 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1144411869 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1144418906 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1144471715 282N00000X G 028 Hospital 091 General Acute Care Hospital
1144500596 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1144540089 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1144566746 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1144600800 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1144609710 171M00000X G 017 Other Service Providers 468 County Social Service Office
1144636051 311Z00000X G 043 Basic Care 079 Basic Care
1144670019 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1144699745 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1144776576 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1154307155 273R00000X G 027 Hospital Units 362 Psychiatric Unit:;Hospital Unit
1154324507 282N00000X G 028 Hospital 091 General Acute Care Hospital
1154332716 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1154333730 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1154346161 282N00000X G 028 Hospital 091 General Acute Care Hospital
1154346161 251G00000X G 025 Agencies 454 HOSPICE
1154346161 341600000X G 034 Transportation 132 Ambulance
1154346161 273R00000X G 027 Hospital Units 362 Psychiatric Unit:;Hospital Unit
1154346161 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1154352169 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1154353142 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1154353142 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1154370187 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1154378057 261QR0405X G 026 Ambulatory Health Care Facilities 364 Rehab Substance Use Disorder
1154378859 282N00000X G 028 Hospital 091 General Acute Care Hospital
1154400232 282N00000X G 028 Hospital 091 General Acute Care Hospital
1154405983 322D00000X G 032 Residential Treatment Facility 264 RTF Emotionally Disturbed Children
1154411676 341600000X G 034 Transportation 132 Ambulance
1154457646 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1154485944 291U00000X G 029 Laboratories 054 Clinical Medical Lab
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1154490399 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1154493856 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1154504967 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1154522241 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1154551919 282N00000X G 028 Hospital 091 General Acute Care Hospital
1154579274 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1154585594 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1154590727 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1154615573 282N00000X G 028 Hospital 091 General Acute Care Hospital
1154709111 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1154842185 251S00000X G 025 Agencies 453 Human Service Center
1154844769 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1154865079 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1164423463 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1164424305 282N00000X G 028 Hospital 091 General Acute Care Hospital
1164428272 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1164430567 282N00000X G 028 Hospital 091 General Acute Care Hospital
1164439196 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1164473393 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1164474250 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1164494027 282N00000X G 028 Hospital 091 General Acute Care Hospital
1164495255 282N00000X G 028 Hospital 091 General Acute Care Hospital
1164522306 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1164535274 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1164536223 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1164537569 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1164553160 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1164579249 333600000X G 033 Supplier 128 Pharmacy
1164592184 341600000X G 034 Transportation 132 Ambulance
1164595955 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1164624458 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1164652640 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1164677399 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1164809562 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1164814638 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1164815973 261QP1100X G 026 Ambulatory Health Care Facilities 048 Podiatric
1164847604 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1164889416 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1164898136 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1164941159 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1164970190 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1164972410 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1164978599 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1164979233 251S00000X G 025 Agencies 357 Community Behavior Health
1174011126 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1174072672 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1174072672 261QM0850X G 026 Ambulatory Health Care Facilities 070 Adult Mental Health
1174501712 261QF0050X G 026 Ambulatory Health Care Facilities 015 Family Planning Non-Surgical
1174504989 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1174512792 282N00000X G 028 Hospital 091 General Acute Care Hospital
1174566335 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1174590806 282N00000X G 028 Hospital 091 General Acute Care Hospital
1174590806 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1174599070 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1174606271 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1174645550 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1174666119 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1174680052 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1174697759 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1174737712 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1174776439 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1174777676 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1174836506 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1174866271 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1174882948 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1174890016 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1174890016 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1174938773 311Z00000X G 043 Basic Care 079 Basic Care
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1174945828 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1174974877 283Q00000X G 028 Hospital 131 Psychiatric Hospital
1174986764 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1184002347 275N00000X G 027 Hospital Units 196 Swing Bed
1184009029 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1184051971 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1184052219 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1184057374 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1184061012 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1184061582 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1184089963 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1184154692 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1184602518 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1184610347 275N00000X G 027 Hospital Units 196 Swing Bed
1184610974 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1184667305 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1184667305 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1184669616 333600000X G 033 Supplier 128 Pharmacy
1184669616 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1184712002 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1184718876 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1184720864 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1184722969 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1184723660 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1184725194 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1184733032 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1184737231 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1184741340 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1184766073 275N00000X G 027 Hospital Units 196 Swing Bed
1184785099 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1184786782 333600000X G 033 Supplier 128 Pharmacy
1184814014 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1184892523 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1184909459 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1184909509 251B00000X G 025 Agencies 035 Case Management
1184917924 261QM1200X G 026 Ambulatory Health Care Facilities 395 Magnetic Resonance Imaging (MRI)
1184917924 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1184917924 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1184917924 261QS0132X G 026 Ambulatory Health Care Facilities 410 Ophthalmologic Surgery
1184923179 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1184932063 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1184932063 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1184932063 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1194021873 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1194095331 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1194113597 171M00000X G 017 Other Service Providers 468 County Social Service Office
1194132977 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1194166173 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1194197459 311Z00000X G 043 Basic Care 079 Basic Care
1194246298 251S00000X G 025 Agencies 453 Human Service Center
1194711986 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1194714212 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1194745935 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1194751313 282N00000X G 028 Hospital 091 General Acute Care Hospital
1194752717 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1194778035 261QP2300X G 026 Ambulatory Health Care Facilities 413 Primary Care
1194787465 282E00000X G 028 Hospital 192 Long Term Care Hospital
1194805796 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1194823021 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1194823021 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1194922328 261QF0050X G 026 Ambulatory Health Care Facilities 015 Family Planning Non-Surgical
1194926659 341600000X G 034 Transportation 132 Ambulance
1194931881 251E00000X G 025 Agencies 082 Home Health Agency
1194960732 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1194989590 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1205009123 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1205038023 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1205082948 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1205090206 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1205106564 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1205152618 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1205182441 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1205184256 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1205231990 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1205234721 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1205243565 251B00000X G 047 Indian Health Services/638 Tribal 035 Case Management
1205243565 171M00000X G 017 Other Service Providers 335 Case Manager/Care Coordinator
1205360153 261QM2800X G 026 Ambulatory Health Care Facilities 509 Methadone
1205807013 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1205808748 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1205812393 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1205831963 333600000X G 033 Supplier 128 Pharmacy
1205831963 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1205848108 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1205860335 282N00000X G 028 Hospital 091 General Acute Care Hospital
1205868429 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1205868429 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1205877768 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1205925815 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1205925815 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1205925815 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1205926144 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1205926144 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1205926144 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1205926730 341600000X G 034 Transportation 132 Ambulance
1205927571 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1205927571 3336C0004X G 033 Supplier 474 Compounding Pharmacy
1205927571 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1205931516 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1205932233 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1205962909 341600000X G 034 Transportation 132 Ambulance
1205991866 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1215000963 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1215003603 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1215003793 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1215026117 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1215026828 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1215026828 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1215040449 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1215048913 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1215059878 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1215063409 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1215080437 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1215085584 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1215085584 333600000X G 033 Supplier 128 Pharmacy
1215088521 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1215088521 311Z00000X G 043 Basic Care 079 Basic Care
1215088521 311Z00000X G 043 Basic Care 079 Basic Care
1215100813 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1215107248 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1215125463 282N00000X G 028 Hospital 091 General Acute Care Hospital
1215125463 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1215131016 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1215256078 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1215278676 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1215371695 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1215465372 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1215932728 314000000X G 031 Nursing & Custodial Care Fac 438 Gero Psych Nursing Home
1215942032 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1215990791 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1225016561 282N00000X G 028 Hospital 091 General Acute Care Hospital
1225032881 282N00000X G 028 Hospital 091 General Acute Care Hospital
1225056146 282N00000X G 028 Hospital 091 General Acute Care Hospital
1225058217 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1225075906 251S00000X G 025 Agencies 453 Human Service Center
1225087190 282N00000X G 028 Hospital 091 General Acute Care Hospital
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1225090954 282N00000X G 028 Hospital 091 General Acute Care Hospital
1225109762 275N00000X G 027 Hospital Units 196 Swing Bed
1225119175 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1225132566 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1225133176 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1225185457 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1225192958 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1225194574 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1225215338 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1225217300 322D00000X G 032 Residential Treatment Facility 264 RTF Emotionally Disturbed Children
1225261274 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1225272552 282N00000X G 028 Hospital 091 General Acute Care Hospital
1225323504 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1225341795 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1225369523 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1225437460 311Z00000X G 043 Basic Care 079 Basic Care
1225443310 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1225443310 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1225448798 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1225457864 311Z00000X G 043 Basic Care 079 Basic Care
1225459027 171M00000X G 017 Other Service Providers 335 Case Manager/Care Coordinator
1225459027 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1225492259 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1225542988 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1235134909 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1235136060 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1235140898 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1235140898 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1235148594 282N00000X G 028 Hospital 091 General Acute Care Hospital
1235173519 3336H0001X G 033 Supplier 475 Home Infusion Therapy Pharmacy
1235173519 333600000X G 033 Supplier 128 Pharmacy
1235177221 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1235215252 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1235229162 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1235229162 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1235239229 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1235239229 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1235239229 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1235239229 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1235249475 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1235249475 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1235264862 333600000X G 033 Supplier 128 Pharmacy
1235277179 333600000X G 033 Supplier 128 Pharmacy
1235288655 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1235295593 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1235363052 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1235406455 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1235406455 282N00000X G 028 Hospital 091 General Acute Care Hospital
1235412388 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1235469826 333600000X G 033 Supplier 128 Pharmacy
1235481540 261QP2300X G 026 Ambulatory Health Care Facilities 413 Primary Care
1235554296 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1235559683 171M00000X G 017 Other Service Providers 468 County Social Service Office
1245216852 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1245216852 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1245217520 282N00000X G 028 Hospital 091 General Acute Care Hospital
1245221092 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1245258953 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1245272277 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1245272277 261QS0112X G 026 Ambulatory Health Care Facilities 212 Oral Maxillofacial Surgery
1245278209 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1245285816 332H00000X G 033 Supplier 384 Eyewear Supplier
1245294826 282N00000X G 028 Hospital 091 General Acute Care Hospital
1245296078 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1245303874 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1245304120 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1245304120 335E00000X G 033 Supplier 347 Prosthetic/Orthotic Supplier
1245305697 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1245312388 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1245314533 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1245322437 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1245332311 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1245332311 261QX0203X G 026 Ambulatory Health Care Facilities 409 Oncology Radiation
1245347368 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1245365196 282N00000X G 028 Hospital 091 General Acute Care Hospital
1245390129 341600000X G 034 Transportation 132 Ambulance
1245391119 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1245397041 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1245397736 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1245420751 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1245441344 311Z00000X G 043 Basic Care 079 Basic Care
1245468891 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1245470343 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1245520386 282N00000X G 028 Hospital 091 General Acute Care Hospital
1245524669 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1245526201 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1245534668 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1245560432 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1245561349 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1245628684 171M00000X G 017 Other Service Providers 468 County Social Service Office
1245773233 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1255317905 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1255335535 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1255337333 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1255337945 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1255339628 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1255367843 293D00000X G 029 Laboratories 366 Physiological Lab (Ind Physiological Lab
1255377412 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1255410841 341600000X G 034 Transportation 132 Ambulance
1255429338 282N00000X G 028 Hospital 091 General Acute Care Hospital
1255445730 275N00000X G 027 Hospital Units 196 Swing Bed
1255469631 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1255510889 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1255583019 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1255607305 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1255656153 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1255677084 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1255677084 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1255677084 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1255706933 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1255742698 171M00000X G 017 Other Service Providers 468 County Social Service Office
1255742870 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1255788949 251E00000X G 025 Agencies 082 Home Health Agency
1255889176 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1265404958 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1265404958 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1265404958 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1265430466 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1265433767 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1265464259 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1265478291 282N00000X G 028 Hospital 091 General Acute Care Hospital
1265502264 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1265504054 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1265514756 341600000X G 034 Transportation 132 Ambulance
1265535389 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1265539639 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1265548101 333600000X G 033 Supplier 128 Pharmacy
1265582092 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1265629240 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1265658967 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1265702690 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1265747737 251E00000X G 025 Agencies 082 Home Health Agency
1265804215 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1265836977 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1265854855 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1265876023 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1265884308 332800000X G 033 Supplier 486 IHS/Tribal/Urbn Indn Hlth (I/T/U) Pharm
1265893655 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1265963250 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1265963250 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1265977193 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1275502577 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1275515579 282N00000X G 028 Hospital 091 General Acute Care Hospital
1275532053 333600000X G 033 Supplier 128 Pharmacy
1275553463 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1275569790 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1275577215 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1275587826 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1275587826 261QM1200X G 026 Ambulatory Health Care Facilities 395 Magnetic Resonance Imaging (MRI)
1275626053 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1275627184 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1275639064 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1275659831 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1275694184 282N00000X G 028 Hospital 091 General Acute Care Hospital
1275732638 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1275796773 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1275838781 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1275919151 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1275942666 311Z00000X G 043 Basic Care 079 Basic Care
1275944605 171M00000X G 017 Other Service Providers 468 County Social Service Office
1275963308 333600000X G 033 Supplier 128 Pharmacy
1275963308 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1275963308 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1275977928 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1285021634 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1285025908 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1285043802 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1285044503 171M00000X G 017 Other Service Providers 468 County Social Service Office
1285056507 171M00000X G 017 Other Service Providers 468 County Social Service Office
1285064246 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1285147900 261QM0850X G 026 Ambulatory Health Care Facilities 070 Adult Mental Health
1285183400 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1285621839 282N00000X G 028 Hospital 091 General Acute Care Hospital
1285627521 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1285636704 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1285651984 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1285666271 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1285684407 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1285719161 282N00000X G 028 Hospital 091 General Acute Care Hospital
1285742262 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1285771303 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1285795450 273Y00000X G 027 Hospital Units 363 Rehabilitation Unit; Hospital Unit
1285818880 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1285943746 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1285966192 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1285967182 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1285974048 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1295010742 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1295032159 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1295142784 311Z00000X G 043 Basic Care 079 Basic Care
1295143014 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1295143055 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1295190635 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1295243277 171M00000X G 017 Other Service Providers 468 County Social Service Office
1295255933 251S00000X G 025 Agencies 453 Human Service Center
1295256386 251S00000X G 025 Agencies 453 Human Service Center
1295722254 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1295726362 282N00000X G 028 Hospital 091 General Acute Care Hospital
1295730653 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1295738193 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1295747608 282N00000X G 028 Hospital 091 General Acute Care Hospital
1295772804 341600000X G 034 Transportation 132 Ambulance
1295772804 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1295772804 282NC0060X G 028 Hospital 111 Critical Access: Hospital
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1295772820 275N00000X G 027 Hospital Units 196 Swing Bed
1295778082 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1295778082 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1295785285 282N00000X G 028 Hospital 091 General Acute Care Hospital
1295789907 282N00000X G 028 Hospital 091 General Acute Care Hospital
1295804300 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1295804300 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1295809184 335E00000X G 033 Supplier 347 Prosthetic/Orthotic Supplier
1295809184 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1295824852 341600000X G 034 Transportation 132 Ambulance
1295824852 251B00000X G 047 Indian Health Services/638 Tribal 035 Case Management
1295827780 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1295848711 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1295869501 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1295884237 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1295896934 341600000X G 034 Transportation 132 Ambulance
1306162540 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1306243647 311Z00000X G 043 Basic Care 079 Basic Care
1306253786 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1306266291 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1306344726 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1306395538 322D00000X G 032 Residential Treatment Facility 264 RTF Emotionally Disturbed Children
1306821087 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1306830427 311Z00000X G 043 Basic Care 079 Basic Care
1306830427 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1306832654 282N00000X G 028 Hospital 091 General Acute Care Hospital
1306832654 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1306836598 282N00000X G 028 Hospital 091 General Acute Care Hospital
1306836598 341600000X G 034 Transportation 132 Ambulance
1306839972 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1306850706 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1306850706 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1306900634 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1306903331 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1306931977 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1306935911 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1306935911 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1306944202 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1306970686 333600000X G 033 Supplier 128 Pharmacy
1306981238 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1316008238 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1316036916 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1316036916 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1316036924 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1316036924 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1316143175 311Z00000X G 043 Basic Care 079 Basic Care
1316232887 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1316270945 311Z00000X G 043 Basic Care 079 Basic Care
1316273998 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1316346745 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1316346745 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1316370950 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1316395189 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1316483050 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1316901333 3336S0011X G 033 Supplier 482 Specialty Pharmacy
1316904287 282N00000X G 028 Hospital 091 General Acute Care Hospital
1316921406 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1316945991 282N00000X G 028 Hospital 091 General Acute Care Hospital
1316948631 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1316965346 282N00000X G 028 Hospital 091 General Acute Care Hospital
1316966518 282N00000X G 028 Hospital 091 General Acute Care Hospital
1316985450 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1326025669 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1326041633 282N00000X G 028 Hospital 091 General Acute Care Hospital
1326041633 341600000X G 034 Transportation 132 Ambulance
1326049248 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1326059981 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1326069097 282N00000X G 028 Hospital 091 General Acute Care Hospital
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1326078049 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1326088899 261QF0050X G 026 Ambulatory Health Care Facilities 015 Family Planning Non-Surgical
1326127655 251E00000X G 025 Agencies 082 Home Health Agency
1326137928 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1326137928 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1326137928 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1326144221 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1326176439 333600000X G 033 Supplier 128 Pharmacy
1326186198 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1326285842 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1326291238 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1326330887 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1326330887 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1326336058 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1326354978 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1326439480 171M00000X G 017 Other Service Providers 468 County Social Service Office
1326452335 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1336119338 282N00000X G 028 Hospital 091 General Acute Care Hospital
1336129113 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1336135524 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1336155738 282N00000X G 028 Hospital 091 General Acute Care Hospital
1336158930 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1336172105 282N00000X G 028 Hospital 091 General Acute Care Hospital
1336175744 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1336184019 282N00000X G 028 Hospital 091 General Acute Care Hospital
1336196039 275N00000X G 027 Hospital Units 196 Swing Bed
1336196039 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1336201433 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1336201433 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1336213818 311Z00000X G 043 Basic Care 079 Basic Care
1336237346 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1336237403 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1336245828 284300000X G 028 Hospital 500 Special Hospital
1336245828 282NC2000X G 028 Hospital 517 General Acute Care Hospital; Children
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1336255744 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1336268515 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1336273432 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1336283928 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1336286798 261Q00000X G 047 Indian Health Services/638 Tribal 359 Clinic/Center
1336348283 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1336443654 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1336443654 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1336454438 261QM0850X G 026 Ambulatory Health Care Facilities 070 Adult Mental Health
1336454438 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1336477223 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1336483551 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1336497072 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1336527365 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1336535038 251B00000X G 047 Indian Health Services/638 Tribal 035 Case Management
1336543701 171M00000X G 017 Other Service Providers 468 County Social Service Office
1336590413 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1336694405 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1346208949 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1346230323 282N00000X G 028 Hospital 091 General Acute Care Hospital
1346242807 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1346250594 282N00000X G 028 Hospital 091 General Acute Care Hospital
1346256682 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1346274594 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1346291648 282N00000X G 028 Hospital 091 General Acute Care Hospital
1346296266 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1346300704 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1346301454 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1346305190 261QM0850X G 026 Ambulatory Health Care Facilities 070 Adult Mental Health
1346318268 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1346339850 251E00000X G 025 Agencies 082 Home Health Agency
1346339967 333600000X G 033 Supplier 128 Pharmacy
1346339967 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1346351475 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1346365079 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1346366044 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1346370640 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1346389764 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1346395191 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1346405891 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1346410115 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1346410990 332S00000X G 033 Supplier 383 Hearing Aid Equipment
1346468808 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1346479169 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1346519683 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1346540663 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1346657004 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1346741964 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1346761442 251S00000X G 025 Agencies 453 Human Service Center
1346781747 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1356307581 282N00000X G 028 Hospital 091 General Acute Care Hospital
1356321699 282N00000X G 028 Hospital 091 General Acute Care Hospital
1356327001 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1356334577 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1356368724 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1356394381 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1356407910 333600000X G 033 Supplier 128 Pharmacy
1356413140 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1356417703 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1356422430 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1356446926 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1356449136 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1356449136 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1356449136 341600000X G 034 Transportation 132 Ambulance
1356449136 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1356453369 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1356487565 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1356495675 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1356532550 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1356558878 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1356570766 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1356576979 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1356649347 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1356665962 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1356715841 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1356737613 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1356752935 171M00000X G 017 Other Service Providers 468 County Social Service Office
1356792816 261QM2800X G 026 Ambulatory Health Care Facilities 509 Methadone
1366446767 282N00000X G 028 Hospital 091 General Acute Care Hospital
1366452880 282N00000X G 028 Hospital 091 General Acute Care Hospital
1366478760 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1366484404 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1366496341 251S00000X G 025 Agencies 453 Human Service Center
1366515488 282N00000X G 028 Hospital 091 General Acute Care Hospital
1366526683 273R00000X G 027 Hospital Units 362 Psychiatric Unit:;Hospital Unit
1366556227 282N00000X G 028 Hospital 091 General Acute Care Hospital
1366597650 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1366634016 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1366720906 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1366734295 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1366745309 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1366784126 341600000X G 034 Transportation 132 Ambulance
1366822629 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1366849549 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1366886186 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1366886186 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1366958308 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1366965170 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1366985863 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1366992323 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1376507061 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1376524488 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1376552893 282N00000X G 028 Hospital 091 General Acute Care Hospital
1376577247 282N00000X G 028 Hospital 091 General Acute Care Hospital
1376584623 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1376593442 282N00000X G 028 Hospital 091 General Acute Care Hospital
1376598714 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1376598714 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1376605600 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1376615047 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1376617191 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1376632067 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1376635151 275N00000X G 027 Hospital Units 196 Swing Bed
1376646315 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1376725614 333600000X G 033 Supplier 128 Pharmacy
1376725614 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1376756163 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1376763839 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1376831933 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1376897033 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1376922591 261QU0200X G 026 Ambulatory Health Care Facilities 288 Urgent Care Center
1376968180 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1376989855 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1386047355 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1386047355 261QS0132X G 026 Ambulatory Health Care Facilities 410 Ophthalmologic Surgery
1386099026 261QX0100X G 026 Ambulatory Health Care Facilities 408 Occupational Medicine
1386099869 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1386608776 333600000X G 033 Supplier 128 Pharmacy
1386638179 251G00000X G 025 Agencies 454 HOSPICE
1386641207 282N00000X G 028 Hospital 091 General Acute Care Hospital
1386660843 341600000X G 034 Transportation 132 Ambulance
1386664829 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1386664829 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1386665826 275N00000X G 027 Hospital Units 196 Swing Bed
1386673408 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1386680767 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1386700763 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1386700763 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1386720795 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1386734226 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1386734226 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1386734226 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1386758373 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1386779460 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1386820751 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1386940823 282N00000X G 028 Hospital 091 General Acute Care Hospital
1386970671 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1386982023 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1396050373 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1396050860 251G00000X G 025 Agencies 454 HOSPICE
1396059721 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1396074548 282N00000X G 028 Hospital 091 General Acute Care Hospital
1396088373 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1396088373 311Z00000X G 043 Basic Care 079 Basic Care
1396144366 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1396151569 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1396168837 171M00000X G 017 Other Service Providers 468 County Social Service Office
1396184750 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1396284048 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1396288080 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1396711396 282N00000X G 028 Hospital 091 General Acute Care Hospital
1396712618 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1396712618 282N00000X G 028 Hospital 091 General Acute Care Hospital
1396723797 333600000X G 033 Supplier 128 Pharmacy
1396727004 311Z00000X G 043 Basic Care 079 Basic Care
1396727004 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1396803979 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1396807012 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1396824017 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1396828547 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1396833554 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1396834909 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1396834909 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1396834909 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1396835237 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1396835237 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1396835237 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1396871216 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1396945267 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1396985073 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1396988010 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1407023062 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1407024896 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1407033202 341600000X G 034 Transportation 132 Ambulance
1407068778 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1407235575 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1407800816 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1407807704 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1407821044 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1407837206 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1407837263 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1407838329 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1407838329 282N00000X G 028 Hospital 091 General Acute Care Hospital
1407855240 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1407882780 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1407896673 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1407897309 341600000X G 034 Transportation 132 Ambulance
1407897309 282N00000X G 028 Hospital 091 General Acute Care Hospital
1407909120 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1407945009 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1407945009 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1407945009 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1407946338 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1407946346 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1407946346 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1407955222 341600000X G 034 Transportation 132 Ambulance
1407959539 333600000X G 033 Supplier 128 Pharmacy
1407959539 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1417000233 261QR0405X G 026 Ambulatory Health Care Facilities 364 Rehab Substance Use Disorder
1417027459 341600000X G 034 Transportation 132 Ambulance
1417044249 275N00000X G 027 Hospital Units 196 Swing Bed
1417047341 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1417047341 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1417047341 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1417051517 282N00000X G 028 Hospital 091 General Acute Care Hospital
1417079211 273R00000X G 027 Hospital Units 362 Psychiatric Unit:;Hospital Unit
1417089889 332H00000X G 033 Supplier 384 Eyewear Supplier
1417090861 322D00000X G 032 Residential Treatment Facility 264 RTF Emotionally Disturbed Children
1417093949 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1417093949 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1417109059 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1417143710 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1417155342 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1417297888 311Z00000X G 043 Basic Care 079 Basic Care
1417364977 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1417365529 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1417466145 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1417912114 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1417915653 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1417923475 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1417935446 282N00000X G 028 Hospital 091 General Acute Care Hospital
1417945080 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1417945080 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1417945080 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1417945627 282N00000X G 028 Hospital 091 General Acute Care Hospital
1417947490 282N00000X G 028 Hospital 091 General Acute Care Hospital
1417954165 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1417968074 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1417990805 282N00000X G 028 Hospital 091 General Acute Care Hospital
1417991647 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1427009034 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1427030774 282N00000X G 028 Hospital 091 General Acute Care Hospital
1427035799 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1427059070 282N00000X G 028 Hospital 091 General Acute Care Hospital
1427069962 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1427079854 275N00000X G 027 Hospital Units 196 Swing Bed
1427080415 3336S0011X G 033 Supplier 482 Specialty Pharmacy
1427080415 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1427095447 275N00000X G 027 Hospital Units 196 Swing Bed
1427103910 282N00000X G 028 Hospital 091 General Acute Care Hospital
1427124247 261QF0050X G 026 Ambulatory Health Care Facilities 015 Family Planning Non-Surgical
1427211770 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1427226125 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1427226125 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1427243948 261QR0405X G 026 Ambulatory Health Care Facilities 364 Rehab Substance Use Disorder
1427243963 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1427243963 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1427249101 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1427277839 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1427371889 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1427392810 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1427441898 171M00000X G 017 Other Service Providers 468 County Social Service Office
1427466630 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1427469584 171M00000X G 017 Other Service Providers 468 County Social Service Office
1427508258 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1427589225 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1427593698 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1437122009 282N00000X G 028 Hospital 091 General Acute Care Hospital
1437141181 282N00000X G 028 Hospital 091 General Acute Care Hospital
1437173945 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1437179371 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1437181591 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1437186111 282N00000X G 028 Hospital 091 General Acute Care Hospital
1437188729 261Q00000X G 047 Indian Health Services/638 Tribal 359 Clinic/Center
1437192721 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1437234911 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1437248945 273Y00000X G 027 Hospital Units 363 Rehabilitation Unit; Hospital Unit
1437258969 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1437260098 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1437283587 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1437286721 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1437317344 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1437334380 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1437346681 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1437348786 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1437385069 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1437495264 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1437495264 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1437573037 311Z00000X G 043 Basic Care 079 Basic Care
1437672136 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1447200373 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1447203799 333600000X G 033 Supplier 128 Pharmacy
1447203799 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1447218482 282N00000X G 028 Hospital 091 General Acute Care Hospital
1447235049 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1447251350 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1447296272 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1447323530 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1447333596 3336H0001X G 033 Supplier 475 Home Infusion Therapy Pharmacy
1447333596 3336S0011X G 033 Supplier 482 Specialty Pharmacy
1447333596 333600000X G 033 Supplier 128 Pharmacy
1447335245 261QF0050X G 026 Ambulatory Health Care Facilities 015 Family Planning Non-Surgical
1447348602 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1447352836 282N00000X G 028 Hospital 091 General Acute Care Hospital
1447354535 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1447356399 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1447356399 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1447356399 3336C0004X G 033 Supplier 474 Compounding Pharmacy
1447357793 341600000X G 034 Transportation 132 Ambulance
1447362454 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1447404165 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1447437355 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1447523469 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1447536578 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1447561139 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1447581202 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1447642459 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1447660261 171M00000X G 017 Other Service Providers 468 County Social Service Office
1447661186 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1447762216 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1447789557 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1457309270 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1457309270 282N00000X G 028 Hospital 091 General Acute Care Hospital
1457309270 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1457309270 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1457319485 282N00000X G 028 Hospital 091 General Acute Care Hospital
1457319527 282N00000X G 028 Hospital 091 General Acute Care Hospital
1457328841 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1457341885 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1457374217 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1457393035 282N00000X G 028 Hospital 091 General Acute Care Hospital
1457405698 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1457419962 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1457419962 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1457420564 261QS0112X G 026 Ambulatory Health Care Facilities 212 Oral Maxillofacial Surgery
1457435802 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1457435802 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1457435802 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1457477218 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1457477218 282NC0060X G 028 Hospital 111 Critical Access: Hospital
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1457479958 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1457479958 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1457479958 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1457677130 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1457693137 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1457702037 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1457769481 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1457788275 261QM2800X G 026 Ambulatory Health Care Facilities 509 Methadone
1457788275 261QR0405X G 026 Ambulatory Health Care Facilities 364 Rehab Substance Use Disorder
1457788275 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1467433292 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1467452102 282N00000X G 028 Hospital 091 General Acute Care Hospital
1467452102 341600000X G 034 Transportation 132 Ambulance
1467473827 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1467510586 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1467513176 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1467534826 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1467534826 333600000X G 033 Supplier 128 Pharmacy
1467537373 275N00000X G 027 Hospital Units 196 Swing Bed
1467537886 282N00000X G 028 Hospital 091 General Acute Care Hospital
1467552471 282N00000X G 028 Hospital 091 General Acute Care Hospital
1467559427 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1467559427 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1467611970 332800000X G 033 Supplier 486 IHS/Tribal/Urbn Indn Hlth (I/T/U) Pharm
1467665513 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1467752899 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1467765420 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1467850859 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1467852350 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1467856658 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1467874149 171M00000X G 017 Other Service Providers 468 County Social Service Office
1467900209 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1467964684 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1477508034 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1477523678 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1477525566 282N00000X G 028 Hospital 091 General Acute Care Hospital
1477529030 341600000X G 034 Transportation 132 Ambulance
1477529030 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1477529030 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1477531580 282N00000X G 028 Hospital 091 General Acute Care Hospital
1477539492 282N00000X G 028 Hospital 091 General Acute Care Hospital
1477541951 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1477544716 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1477545333 282N00000X G 028 Hospital 091 General Acute Care Hospital
1477545333 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1477549111 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1477570497 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1477584993 282N00000X G 028 Hospital 091 General Acute Care Hospital
1477592533 251S00000X G 025 Agencies 453 Human Service Center
1477594430 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1477598118 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1477622215 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1477631745 251G00000X G 025 Agencies 454 HOSPICE
1477638864 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1477643310 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1477643310 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1477643310 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1477643690 282N00000X G 028 Hospital 091 General Acute Care Hospital
1477659860 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1477709574 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1477709574 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1477715910 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1477724433 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1477739795 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1477739795 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1477740199 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1477867380 3336H0001X G 033 Supplier 475 Home Infusion Therapy Pharmacy
1477867380 332B00000X G 033 Supplier 113 DME & Medical Suppliers
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1477878114 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1477937258 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1477964674 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1477964757 251B00000X G 047 Indian Health Services/638 Tribal 035 Case Management
1477970846 261QP2300X G 026 Ambulatory Health Care Facilities 413 Primary Care
1477997005 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1477997005 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1487045571 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1487066908 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1487084679 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1487105276 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1487632998 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1487635496 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1487639381 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1487648598 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1487658324 311Z00000X G 043 Basic Care 079 Basic Care
1487658324 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1487667077 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1487685947 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1487705653 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1487707188 282N00000X G 028 Hospital 091 General Acute Care Hospital
1487712964 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1487730594 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1487734331 341600000X G 034 Transportation 132 Ambulance
1487759593 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1487783262 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1487804092 276400000X G 027 Hospital Units 364 Rehab Substance Use Disorder
1487814356 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1487824587 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1487824991 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1487882718 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1487889614 275N00000X G 027 Hospital Units 196 Swing Bed
1487904546 282N00000X G 028 Hospital 091 General Acute Care Hospital
1487918561 333600000X G 033 Supplier 128 Pharmacy
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1487923991 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1487929089 311Z00000X G 043 Basic Care 079 Basic Care
1487944898 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1487960522 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1487963278 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1487969952 251E00000X G 025 Agencies 082 Home Health Agency
1487988747 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1487990339 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1487990339 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1497017297 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1497020390 333600000X G 033 Supplier 128 Pharmacy
1497157895 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1497293799 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1497703045 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1497736151 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1497743959 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1497747182 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1497755185 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1497767990 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1497805196 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1497815310 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1497837306 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1497843940 282N00000X G 028 Hospital 091 General Acute Care Hospital
1497844005 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1497844005 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1497844906 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1497847776 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1497847776 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1497847776 3336C0004X G 033 Supplier 474 Compounding Pharmacy
1497850119 282N00000X G 028 Hospital 091 General Acute Care Hospital
1497850119 341600000X G 034 Transportation 132 Ambulance
1497853717 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1497856025 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1497868061 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1497893242 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1497933162 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1497944953 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1497950059 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1497962393 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1497969869 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1508120205 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1508182684 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1508182684 333600000X G 033 Supplier 128 Pharmacy
1508197013 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1508205741 282E00000X G 028 Hospital 192 Long Term Care Hospital
1508230814 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1508249186 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1508264730 171M00000X G 017 Other Service Providers 468 County Social Service Office
1508289703 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1508299272 333600000X G 033 Supplier 128 Pharmacy
1508374497 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1508374901 171M00000X G 017 Other Service Providers 468 County Social Service Office
1508839879 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1508864414 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1508865700 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1508890450 3336S0011X G 033 Supplier 482 Specialty Pharmacy
1508890450 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1508890450 3336H0001X G 033 Supplier 475 Home Infusion Therapy Pharmacy
1508899204 282N00000X G 028 Hospital 091 General Acute Care Hospital
1508924622 333600000X G 033 Supplier 128 Pharmacy
1508945502 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1508947458 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1508955105 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1508955105 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1508964867 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1508964883 282N00000X G 028 Hospital 091 General Acute Care Hospital
1508972936 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1518026046 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1518028331 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1518031640 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1518047570 311Z00000X G 043 Basic Care 079 Basic Care
1518056142 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1518056423 341600000X G 034 Transportation 132 Ambulance
1518061803 275N00000X G 027 Hospital Units 196 Swing Bed
1518061803 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1518068949 275N00000X G 027 Hospital Units 196 Swing Bed
1518089499 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1518090448 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1518114578 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1518161389 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1518217744 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1518287101 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1518296755 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1518345016 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1518373224 311Z00000X G 043 Basic Care 079 Basic Care
1518481936 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1518486505 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1518909563 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1518911700 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1518964337 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1518968379 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1518982628 282N00000X G 028 Hospital 091 General Acute Care Hospital
1518988948 333600000X G 033 Supplier 128 Pharmacy
1518988948 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1518988948 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1528000718 333600000X G 033 Supplier 128 Pharmacy
1528006103 282N00000X G 028 Hospital 091 General Acute Care Hospital
1528009412 282N00000X G 028 Hospital 091 General Acute Care Hospital
1528009412 282N00000X G 028 Hospital 091 General Acute Care Hospital
1528016995 282N00000X G 028 Hospital 091 General Acute Care Hospital
1528019833 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1528023231 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1528025632 282N00000X G 028 Hospital 091 General Acute Care Hospital
1528035995 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1528041811 282N00000X G 028 Hospital 091 General Acute Care Hospital
1528052511 251E00000X G 025 Agencies 082 Home Health Agency
1528052511 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1528057759 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1528070513 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1528090503 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1528090503 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1528093259 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1528116969 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1528120870 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1528142981 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1528144623 273R00000X G 027 Hospital Units 362 Psychiatric Unit:;Hospital Unit
1528150067 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1528157039 273R00000X G 027 Hospital Units 362 Psychiatric Unit:;Hospital Unit
1528164068 341600000X G 034 Transportation 132 Ambulance
1528167491 282N00000X G 028 Hospital 091 General Acute Care Hospital
1528169125 282N00000X G 028 Hospital 091 General Acute Care Hospital
1528175429 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1528198975 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1528303310 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1528309846 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1528309846 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1528389871 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1528452927 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1528490240 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1538123567 282N00000X G 028 Hospital 091 General Acute Care Hospital
1538128491 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1538143896 282N00000X G 028 Hospital 091 General Acute Care Hospital
1538144910 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1538150834 251E00000X G 025 Agencies 082 Home Health Agency
1538164090 282N00000X G 028 Hospital 091 General Acute Care Hospital
1538167150 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1538198759 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1538199617 282N00000X G 028 Hospital 091 General Acute Care Hospital
1538212162 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1538220611 273R00000X G 027 Hospital Units 362 Psychiatric Unit:;Hospital Unit
1538245634 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1538245634 282N00000X G 028 Hospital 091 General Acute Care Hospital
1538249123 311Z00000X G 043 Basic Care 079 Basic Care
1538253646 251G00000X G 025 Agencies 454 HOSPICE
1538254586 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1538257415 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1538271549 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1538287263 311Z00000X G 043 Basic Care 079 Basic Care
1538369780 341600000X G 034 Transportation 132 Ambulance
1538401138 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1538413935 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1538428610 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1538428610 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1538617642 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1548202369 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1548202369 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1548212699 282N00000X G 028 Hospital 091 General Acute Care Hospital
1548212988 282N00000X G 028 Hospital 091 General Acute Care Hospital
1548240443 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1548256753 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1548264591 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1548276371 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1548280035 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1548281736 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1548282403 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1548286875 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1548320112 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1548357023 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1548359623 341600000X G 034 Transportation 132 Ambulance
1548360761 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1548365406 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1548390735 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1548393127 282N00000X G 028 Hospital 091 General Acute Care Hospital
1548430614 171M00000X G 017 Other Service Providers 335 Case Manager/Care Coordinator
1548430614 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1548446669 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1548475023 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1548532468 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1548558083 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1548566698 333600000X G 033 Supplier 128 Pharmacy
1548572076 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1548572076 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1548572076 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1548597685 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1548604309 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1548627631 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1548715790 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1548789530 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1558302018 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1558314427 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1558317925 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1558328435 282N00000X G 028 Hospital 091 General Acute Care Hospital
1558333682 282N00000X G 028 Hospital 091 General Acute Care Hospital
1558337899 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1558339556 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1558351874 314000000X G 031 Nursing & Custodial Care Fac 438 Gero Psych Nursing Home
1558351874 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1558359042 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1558360388 282N00000X G 028 Hospital 091 General Acute Care Hospital
1558376152 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1558379248 333600000X G 033 Supplier 128 Pharmacy
1558379248 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1558389338 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1558389338 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1558410217 282N00000X G 028 Hospital 091 General Acute Care Hospital
1558421792 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1558423665 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1558423665 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1558427187 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1558427708 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1558447755 311Z00000X G 043 Basic Care 079 Basic Care
1558458091 283X00000X G 028 Hospital 421 Rehabilitation Hospital
1558458844 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1558458844 333600000X G 033 Supplier 128 Pharmacy
1558485946 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1558562975 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1558581918 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1558657437 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1558672279 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1558724492 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1558731257 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1558746271 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1558754036 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1568407153 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1568408581 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1568415974 282N00000X G 028 Hospital 091 General Acute Care Hospital
1568427383 282N00000X G 028 Hospital 091 General Acute Care Hospital
1568460772 282N00000X G 028 Hospital 091 General Acute Care Hospital
1568471563 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1568476323 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1568492353 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1568492353 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1568547032 282N00000X G 028 Hospital 091 General Acute Care Hospital
1568552404 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1568552404 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1568552404 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1568574036 261Q00000X G 047 Indian Health Services/638 Tribal 359 Clinic/Center
1568633865 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1568638294 332S00000X G 033 Supplier 383 Hearing Aid Equipment
1568643823 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1568656114 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1568795623 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1568804193 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1568811552 261QP2300X G 026 Ambulatory Health Care Facilities 413 Primary Care
1568847408 261QP2300X G 026 Ambulatory Health Care Facilities 413 Primary Care
1568873032 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1568877652 171M00000X G 017 Other Service Providers 468 County Social Service Office
1568903243 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1568916989 322D00000X G 032 Residential Treatment Facility 264 RTF Emotionally Disturbed Children
1568918902 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1578508198 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1578519880 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1578520045 282N00000X G 028 Hospital 091 General Acute Care Hospital
1578553160 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1578554374 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1578557286 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1578564373 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1578567996 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1578578134 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1578588307 333600000X G 033 Supplier 128 Pharmacy
1578594016 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1578597993 282N00000X G 028 Hospital 091 General Acute Care Hospital
1578614038 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1578614038 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1578622999 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1578623930 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1578624136 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1578624136 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1578624136 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1578627329 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1578649711 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1578670691 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1578674586 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1578734869 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1578755344 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1578791117 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1578804316 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1578878047 251G00000X G 025 Agencies 454 HOSPICE
1578880704 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1578898268 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1578907655 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1578907655 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1578907655 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1578918124 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1578940516 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1578948253 314000000X G 031 Nursing & Custodial Care Fac 438 Gero Psych Nursing Home
1578998753 311Z00000X G 043 Basic Care 079 Basic Care
1588004410 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1588021943 333600000X G 033 Supplier 128 Pharmacy
1588041685 171M00000X G 017 Other Service Providers 468 County Social Service Office
1588044721 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1588079156 311Z00000X G 043 Basic Care 079 Basic Care
1588177968 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1588657118 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1588669840 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1588681753 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1588686539 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1588724553 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1588724728 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1588735401 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1588745004 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1588751325 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1588753198 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1588753198 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1588754428 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1588754428 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1588754428 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1588762306 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1588763247 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1588763247 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1588763932 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1588766166 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1588770440 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1588784870 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1588797922 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1588817936 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1588826390 311Z00000X G 043 Basic Care 079 Basic Care
1588876759 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1588906770 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1598056384 335V00000X G 033 Supplier 116 Portable X-Ray Supplier
1598164972 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1598177156 171M00000X G 017 Other Service Providers 468 County Social Service Office
1598185597 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1598185597 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1598298101 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1598741381 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1598747651 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1598756686 282N00000X G 028 Hospital 091 General Acute Care Hospital
1598760803 314000000X G 031 Nursing & Custodial Care Fac 438 Gero Psych Nursing Home
1598760803 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1598765570 333600000X G 033 Supplier 128 Pharmacy
1598769531 333600000X G 033 Supplier 128 Pharmacy
1598772618 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1598799751 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1598802886 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1598810061 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1598837346 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1598848517 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1598848517 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1598852972 332B00000X G 033 Supplier 113 DME & Medical Suppliers
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1598874232 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1598930109 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1598930109 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1598944373 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1598959793 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1609035997 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1609062272 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1609141050 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1609177542 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1609243450 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1609247923 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1609250620 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1609258482 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1609294321 171M00000X G 017 Other Service Providers 468 County Social Service Office
1609804541 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1609812445 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1609813625 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1609819127 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1609824010 282N00000X G 028 Hospital 091 General Acute Care Hospital
1609827484 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1609842665 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1609843523 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1609851039 282N00000X G 047 Indian Health Services/638 Tribal 091 General Acute Care Hospital
1609861095 282N00000X G 028 Hospital 091 General Acute Care Hospital
1609861095 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1609872431 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1609887397 251E00000X G 025 Agencies 082 Home Health Agency
1609894054 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1609897594 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1609908631 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1609908631 333600000X G 033 Supplier 128 Pharmacy
1609908631 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1609915784 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1609926013 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1609945005 311Z00000X G 043 Basic Care 079 Basic Care
1609945914 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1609968122 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1609970664 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1609970664 3336M0002X G 033 Supplier 478 Mail Order Pharmacy
1609970664 3336S0011X G 033 Supplier 482 Specialty Pharmacy
1609972884 275N00000X G 027 Hospital Units 196 Swing Bed
1609984889 282N00000X G 028 Hospital 091 General Acute Care Hospital
1619033917 275N00000X G 027 Hospital Units 196 Swing Bed
1619041670 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1619064193 282N00000X G 028 Hospital 091 General Acute Care Hospital
1619064193 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1619064946 251E00000X G 025 Agencies 082 Home Health Agency
1619088770 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1619119591 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1619123593 261QU0200X G 026 Ambulatory Health Care Facilities 288 Urgent Care Center
1619151206 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1619168267 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1619195807 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1619213212 3336S0011X G 033 Supplier 482 Specialty Pharmacy
1619295516 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1619312568 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1619355633 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1619399334 171M00000X G 017 Other Service Providers 468 County Social Service Office
1619905528 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1619909694 333600000X G 033 Supplier 128 Pharmacy
1619909694 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1619909694 3336S0011X G 033 Supplier 482 Specialty Pharmacy
1619909694 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1619919800 333600000X G 033 Supplier 128 Pharmacy
1619927290 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1619927290 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1619927290 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1619943776 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1619944253 261QS1200X G 026 Ambulatory Health Care Facilities 424 Sleep Disorder Diagnostic
1619957115 261QS0132X G 026 Ambulatory Health Care Facilities 410 Ophthalmologic Surgery
1619957115 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1619998358 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1629006457 282N00000X G 028 Hospital 091 General Acute Care Hospital
1629066824 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1629072590 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1629076245 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1629121074 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1629152749 282N00000X G 028 Hospital 091 General Acute Care Hospital
1629159074 341600000X G 034 Transportation 132 Ambulance
1629161781 282N00000X G 028 Hospital 091 General Acute Care Hospital
1629169008 261QP1100X G 026 Ambulatory Health Care Facilities 048 Podiatric
1629175237 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1629182605 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1629182605 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1629182605 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1629195342 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1629209853 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1629222542 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1629224860 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1629234257 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1629234257 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1629253588 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1629291240 332S00000X G 033 Supplier 383 Hearing Aid Equipment
1629348230 251E00000X G 025 Agencies 082 Home Health Agency
1629420765 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1629481841 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1639111057 282N00000X G 028 Hospital 091 General Acute Care Hospital
1639111230 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1639148463 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1639160708 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1639162381 282N00000X G 028 Hospital 091 General Acute Care Hospital
1639162381 276400000X G 027 Hospital Units 364 Rehab Substance Use Disorder
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1639237746 261QR0400X G 026 Ambulatory Health Care Facilities 420 Rehabilitation
1639254113 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1639257033 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1639274731 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1639296007 275N00000X G 027 Hospital Units 196 Swing Bed
1639300551 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1639358526 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1639367121 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1639423957 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1639462351 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1639484140 251G00000X G 025 Agencies 454 HOSPICE
1639501141 311Z00000X G 043 Basic Care 079 Basic Care
1639513377 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1639513377 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1639525900 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1639525900 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1639528334 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1639549298 311Z00000X G 043 Basic Care 079 Basic Care
1639561434 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1649208695 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1649209230 282N00000X G 028 Hospital 091 General Acute Care Hospital
1649211517 333600000X G 033 Supplier 128 Pharmacy
1649215849 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1649216169 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1649220724 282N00000X G 028 Hospital 091 General Acute Care Hospital
1649226671 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1649226671 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1649226713 251S00000X G 025 Agencies 453 Human Service Center
1649227075 283Q00000X G 028 Hospital 131 Psychiatric Hospital
1649227075 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1649227075 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1649244617 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1649259656 282N00000X G 028 Hospital 091 General Acute Care Hospital
1649275728 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1649330937 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1649338377 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1649338724 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1649350844 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1649363144 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1649367269 282N00000X G 028 Hospital 091 General Acute Care Hospital
1649368226 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1649373887 282N00000X G 028 Hospital 091 General Acute Care Hospital
1649374042 275N00000X G 027 Hospital Units 196 Swing Bed
1649380593 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1649400797 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1649461344 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1649477001 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1649502212 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1649518051 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1649564931 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1649638958 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1649682618 171M00000X G 017 Other Service Providers 468 County Social Service Office
1649780347 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1659343093 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1659352276 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1659371870 282N00000X G 028 Hospital 091 General Acute Care Hospital
1659379436 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1659393650 311Z00000X G 043 Basic Care 079 Basic Care
1659397164 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1659407732 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1659410009 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1659435105 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1659438828 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1659475846 282N00000X G 028 Hospital 091 General Acute Care Hospital
1659477149 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1659543288 311Z00000X G 043 Basic Care 079 Basic Care
1659543288 311Z00000X G 043 Basic Care 079 Basic Care
1659563310 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1659590644 282NC2000X G 028 Hospital 517 General Acute Care Hospital; Children
1659617504 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1659617504 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1659620110 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1659641645 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1659654804 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1659705424 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1659773125 261QM1200X G 026 Ambulatory Health Care Facilities 395 Magnetic Resonance Imaging (MRI)
1659806495 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1659807949 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1669401527 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1669403846 282N00000X G 028 Hospital 091 General Acute Care Hospital
1669411930 251S00000X G 025 Agencies 453 Human Service Center
1669420923 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1669426631 282N00000X G 028 Hospital 091 General Acute Care Hospital
1669427555 282N00000X G 028 Hospital 091 General Acute Care Hospital
1669442257 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1669457180 282N00000X G 028 Hospital 091 General Acute Care Hospital
1669459913 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1669478129 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1669484473 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1669491262 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1669524351 261QX0100X G 026 Ambulatory Health Care Facilities 408 Occupational Medicine
1669525291 333600000X G 033 Supplier 128 Pharmacy
1669525291 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1669533394 341600000X G 034 Transportation 132 Ambulance
1669546149 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1669555744 251E00000X G 025 Agencies 082 Home Health Agency
1669568747 275N00000X G 027 Hospital Units 196 Swing Bed
1669591038 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1669656930 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1669668752 333600000X G 033 Supplier 128 Pharmacy
1669771523 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1669787289 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1669806717 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1669880845 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1669886651 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1669890653 311Z00000X G 043 Basic Care 079 Basic Care
1669895744 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1669907291 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1669917308 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1679010953 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1679522205 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1679535132 282N00000X G 028 Hospital 091 General Acute Care Hospital
1679561088 282N00000X G 028 Hospital 091 General Acute Care Hospital
1679563993 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1679569834 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1679582944 282N00000X G 028 Hospital 091 General Acute Care Hospital
1679591929 341600000X G 034 Transportation 132 Ambulance
1679597264 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1679615629 333600000X G 033 Supplier 128 Pharmacy
1679631477 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1679663512 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1679663512 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1679669741 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1679672646 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1679707632 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1679709802 283Q00000X G 028 Hospital 131 Psychiatric Hospital
1679709802 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1679709802 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1679774616 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1679916621 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1679937155 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1679958755 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1689023129 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1689038614 332S00000X G 033 Supplier 383 Hearing Aid Equipment
1689038614 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1689052862 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1689085797 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1689087132 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1689117830 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1689602682 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1689604316 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1689628984 282N00000X G 028 Hospital 091 General Acute Care Hospital
1689632358 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1689639544 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1689653305 282N00000X G 028 Hospital 091 General Acute Care Hospital
1689667834 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1689677585 261QF0050X G 026 Ambulatory Health Care Facilities 015 Family Planning Non-Surgical
1689682031 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1689685323 282N00000X G 028 Hospital 091 General Acute Care Hospital
1689697062 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1689698193 311Z00000X G 043 Basic Care 079 Basic Care
1689704553 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1689725434 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1689735235 275N00000X G 027 Hospital Units 196 Swing Bed
1689747552 282N00000X G 028 Hospital 091 General Acute Care Hospital
1689751158 341600000X G 034 Transportation 132 Ambulance
1689755670 282N00000X G 028 Hospital 091 General Acute Care Hospital
1689758039 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1689758039 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1689763294 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1689763294 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1689791816 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1689818627 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1689829806 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1689829806 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1689857203 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1689878324 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1689894263 251B00000X G 025 Agencies 035 Case Management
1689895427 332800000X G 033 Supplier 486 IHS/Tribal/Urbn Indn Hlth (I/T/U) Pharm
1689942609 311Z00000X G 043 Basic Care 079 Basic Care
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1689975021 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1699024588 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1699075945 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1699078626 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1699080945 335E00000X G 033 Supplier 347 Prosthetic/Orthotic Supplier
1699115857 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1699129205 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1699157073 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1699170464 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1699174797 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1699191809 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1699216945 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1699711143 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1699752915 282N00000X G 028 Hospital 091 General Acute Care Hospital
1699766733 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1699772178 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1699782722 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1699817270 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1699847293 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1699849786 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1699859173 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1699866244 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1699942581 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1699954545 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1699955344 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1699983932 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1700026317 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1700037801 282N00000X G 028 Hospital 091 General Acute Care Hospital
1700038981 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1700038981 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1700051588 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1700064599 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1700088283 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1700104072 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1700208592 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1700212735 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1700274891 171M00000X G 017 Other Service Providers 468 County Social Service Office
1700293750 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1700818788 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1700818788 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1700828993 333600000X G 033 Supplier 128 Pharmacy
1700836160 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1700836251 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1700840097 333600000X G 033 Supplier 128 Pharmacy
1700855657 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1700889227 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1700895752 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1700896354 282N00000X G 028 Hospital 091 General Acute Care Hospital
1700907912 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1700921913 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1700933009 332S00000X G 033 Supplier 383 Hearing Aid Equipment
1700962818 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1700965696 275N00000X G 027 Hospital Units 196 Swing Bed
1700965696 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1700965696 311Z00000X G 043 Basic Care 079 Basic Care
1700965696 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1700972122 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1700975604 275N00000X G 027 Hospital Units 196 Swing Bed
1700990041 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1710024690 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1710024807 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1710037288 261Q00000X G 047 Indian Health Services/638 Tribal 359 Clinic/Center
1710047162 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1710056452 333600000X G 033 Supplier 128 Pharmacy
1710066352 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1710074554 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1710082904 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1710084066 341600000X G 034 Transportation 132 Ambulance
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1710156237 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1710354519 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1710364799 261QR0405X G 026 Ambulatory Health Care Facilities 364 Rehab Substance Use Disorder
1710489042 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1710496310 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1710498985 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1710924683 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1710966049 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1710967104 251E00000X G 025 Agencies 082 Home Health Agency
1720011810 282N00000X G 028 Hospital 091 General Acute Care Hospital
1720020324 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1720045073 282N00000X G 028 Hospital 091 General Acute Care Hospital
1720054810 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1720055437 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1720059421 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1720059421 261QS0132X G 026 Ambulatory Health Care Facilities 410 Ophthalmologic Surgery
1720075377 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1720075377 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1720076482 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1720078686 251E00000X G 025 Agencies 082 Home Health Agency
1720079619 282N00000X G 028 Hospital 091 General Acute Care Hospital
1720084999 282N00000X G 028 Hospital 091 General Acute Care Hospital
1720112139 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1720140577 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1720152457 261Q00000X G 047 Indian Health Services/638 Tribal 359 Clinic/Center
1720156664 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1720161953 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1720170939 275N00000X G 027 Hospital Units 196 Swing Bed
1720175060 341600000X G 034 Transportation 132 Ambulance
1720194624 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1720237258 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1720253479 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1720253479 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1720265168 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1720290430 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1720293301 322D00000X G 032 Residential Treatment Facility 264 RTF Emotionally Disturbed Children
1720293442 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1720317118 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1720326713 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1720342884 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1720385263 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1720413461 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1720454267 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1720454267 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1720492366 251J00000X G 025 Agencies 499 Nursing Care
1720527120 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1730112053 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1730120601 333600000X G 033 Supplier 128 Pharmacy
1730126640 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1730136532 282N00000X G 028 Hospital 091 General Acute Care Hospital
1730144593 282N00000X G 028 Hospital 091 General Acute Care Hospital
1730159690 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1730173238 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1730186529 314000000X G 031 Nursing & Custodial Care Fac 439 Non Gero Psych Nursing Home
1730212093 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1730212325 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1730237736 333600000X G 033 Supplier 128 Pharmacy
1730242728 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1730242728 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1730242728 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1730252883 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1730262759 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1730274143 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1730280371 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1730306812 251G00000X G 025 Agencies 454 HOSPICE
1730356833 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1730369711 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1730369711 332B00000X G 033 Supplier 113 DME & Medical Suppliers
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1730369711 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1730380973 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1730395435 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1730421256 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1730453366 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1730464108 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1730481078 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1730486416 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1730568437 282N00000X G 028 Hospital 091 General Acute Care Hospital
1740211267 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1740228774 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1740228774 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1740244540 282N00000X G 028 Hospital 091 General Acute Care Hospital
1740248442 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1740249929 333600000X G 033 Supplier 128 Pharmacy
1740254523 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1740262880 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1740283860 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1740286616 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1740302371 275N00000X G 027 Hospital Units 196 Swing Bed
1740337211 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1740359348 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1740378637 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1740380542 333600000X G 033 Supplier 128 Pharmacy
1740380542 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1740387059 341600000X G 034 Transportation 132 Ambulance
1740391853 311Z00000X G 043 Basic Care 079 Basic Care
1740430198 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1740451038 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1740452374 311Z00000X G 043 Basic Care 079 Basic Care
1740473800 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1740503358 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1740551399 251G00000X G 025 Agencies 454 HOSPICE
1740553353 291U00000X G 029 Laboratories 054 Clinical Medical Lab
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1740553932 282N00000X G 028 Hospital 091 General Acute Care Hospital
1740621556 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1740666106 311Z00000X G 043 Basic Care 079 Basic Care
1740685452 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1740701754 251S00000X G 025 Agencies 453 Human Service Center
1740790005 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1750307872 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1750311940 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1750328662 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1750337069 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1750353462 282N00000X G 028 Hospital 091 General Acute Care Hospital
1750368700 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1750467999 322D00000X G 032 Residential Treatment Facility 264 RTF Emotionally Disturbed Children
1750508123 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1750532321 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1750536272 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1750569125 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1750569125 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1750578993 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1750650230 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1750671186 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1750689030 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1750701280 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1750725586 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1750725743 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1750786968 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1750786968 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1760423057 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1760429237 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1760446124 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1760446256 282N00000X G 028 Hospital 091 General Acute Care Hospital
1760476659 282N00000X G 028 Hospital 091 General Acute Care Hospital
1760492714 282N00000X G 028 Hospital 091 General Acute Care Hospital
1760494330 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1760539100 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1760541700 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1760542500 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1760549000 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1760549000 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1760570394 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1760572606 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1760572606 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1760589295 282N00000X G 028 Hospital 091 General Acute Care Hospital
1760606388 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1760613772 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1760621387 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1760655740 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1760660658 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1760666887 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1760675755 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1760676886 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1760780126 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1760781033 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1760781033 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1760808299 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1760808299 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1760822803 282E00000X G 028 Hospital 192 Long Term Care Hospital
1760854624 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1760908669 261QP2300X G 026 Ambulatory Health Care Facilities 413 Primary Care
1770029613 333600000X G 033 Supplier 128 Pharmacy
1770502460 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1770505760 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1770506032 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1770524613 251S00000X G 025 Agencies 453 Human Service Center
1770527590 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1770528606 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1770536120 282N00000X G 028 Hospital 091 General Acute Care Hospital
1770538084 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1770552820 251E00000X G 025 Agencies 082 Home Health Agency
1770558405 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1770585382 282E00000X G 028 Hospital 192 Long Term Care Hospital
1770586794 282N00000X G 028 Hospital 091 General Acute Care Hospital
1770591927 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1770591927 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1770594459 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1770603730 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1770603730 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1770613325 332800000X G 033 Supplier 486 IHS/Tribal/Urbn Indn Hlth (I/T/U) Pharm
1770626004 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1770639130 333600000X G 033 Supplier 128 Pharmacy
1770669921 275N00000X G 027 Hospital Units 196 Swing Bed
1770672289 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1770693954 282N00000X G 028 Hospital 091 General Acute Care Hospital
1770698714 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1770710659 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1770727703 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1770766362 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1770778748 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1770783169 311Z00000X G 043 Basic Care 079 Basic Care
1770824492 341600000X G 034 Transportation 132 Ambulance
1770854200 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1780004713 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1780006510 171M00000X G 017 Other Service Providers 468 County Social Service Office
1780043257 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1780043257 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1780073932 261QP2300X G 026 Ambulatory Health Care Facilities 413 Primary Care
1780076653 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1780123208 311Z00000X G 043 Basic Care 079 Basic Care
1780132837 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1780614461 3336H0001X G 033 Supplier 475 Home Infusion Therapy Pharmacy
1780614461 3336M0002X G 033 Supplier 478 Mail Order Pharmacy
1780614461 332B00000X G 033 Supplier 113 DME & Medical Suppliers
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1780614461 333600000X G 033 Supplier 128 Pharmacy
1780620526 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1780621045 261QE0002X G 026 Ambulatory Health Care Facilities 271 Emergency Care
1780621904 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1780622191 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1780628149 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1780635078 282N00000X G 028 Hospital 091 General Acute Care Hospital
1780648964 333600000X G 033 Supplier 128 Pharmacy
1780699314 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1780707836 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1780715532 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1780734285 341600000X G 034 Transportation 132 Ambulance
1780761262 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1780761262 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1780815506 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1780851014 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1780912774 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1780959809 251J00000X G 025 Agencies 499 Nursing Care
1780962126 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1790004182 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1790021517 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1790023547 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1790083228 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1790210318 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1790210433 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1790235042 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1790721280 282N00000X G 028 Hospital 091 General Acute Care Hospital
1790751170 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1790762318 333600000X G 033 Supplier 128 Pharmacy
1790762318 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1790795987 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1790795987 333600000X G 033 Supplier 128 Pharmacy
1790799518 282N00000X G 028 Hospital 091 General Acute Care Hospital
1790811032 341600000X G 034 Transportation 132 Ambulance
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1790811503 332800000X G 033 Supplier 486 IHS/Tribal/Urbn Indn Hlth (I/T/U) Pharm
1790842466 283Q00000X G 028 Hospital 131 Psychiatric Hospital
1790847812 275N00000X G 027 Hospital Units 196 Swing Bed
1790856706 341600000X G 034 Transportation 132 Ambulance
1790888295 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1790889715 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1790890531 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1790919090 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1790921856 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1790941342 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1790965440 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1790965440 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1790999605 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1801052592 332800000X G 033 Supplier 486 IHS/Tribal/Urbn Indn Hlth (I/T/U) Pharm
1801092358 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1801129705 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1801145206 261QP2300X G 026 Ambulatory Health Care Facilities 413 Primary Care
1801195045 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1801195045 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1801197256 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1801328133 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1801335641 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1801802210 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1801811666 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1801818497 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1801819636 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1801819826 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1801835970 282N00000X G 028 Hospital 091 General Acute Care Hospital
1801840780 261QE0002X G 026 Ambulatory Health Care Facilities 271 Emergency Care
1801870191 282N00000X G 028 Hospital 091 General Acute Care Hospital
1801893706 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1801893706 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1801896162 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1801900881 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1801907720 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1801909239 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1801909239 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1801928593 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1801959788 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1801959788 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1801964481 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1801964952 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1801964952 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1801964952 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1801965967 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1801983028 341600000X G 034 Transportation 132 Ambulance
1801987904 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1801995402 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1811017155 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1811039316 311Z00000X G 043 Basic Care 079 Basic Care
1811039316 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1811041270 261QS1200X G 026 Ambulatory Health Care Facilities 424 Sleep Disorder Diagnostic
1811055197 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1811076086 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1811077175 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1811097504 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1811097504 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1811109812 251S00000X G 025 Agencies 357 Community Behavior Health
1811132145 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1811153505 332800000X G 033 Supplier 486 IHS/Tribal/Urbn Indn Hlth (I/T/U) Pharm
1811160955 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1811168958 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1811168958 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1811171499 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1811184120 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1811234032 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1811301948 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1811387921 171M00000X G 017 Other Service Providers 468 County Social Service Office
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1811405988 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1811918436 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1811923535 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1811939416 3336C0002X G 033 Supplier 472 Clinic Pharmacy
1811941172 261QM1200X G 026 Ambulatory Health Care Facilities 395 Magnetic Resonance Imaging (MRI)
1811941172 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1811941172 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1811978877 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1811997489 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1811997711 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1821016536 282N00000X G 028 Hospital 091 General Acute Care Hospital
1821017880 282N00000X G 028 Hospital 091 General Acute Care Hospital
1821017880 341600000X G 034 Transportation 132 Ambulance
1821030909 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1821037938 282N00000X G 028 Hospital 091 General Acute Care Hospital
1821039793 333600000X G 033 Supplier 128 Pharmacy
1821039975 282N00000X G 028 Hospital 091 General Acute Care Hospital
1821044652 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1821048950 3336S0011X G 033 Supplier 482 Specialty Pharmacy
1821048950 333600000X G 033 Supplier 128 Pharmacy
1821048950 3336H0001X G 033 Supplier 475 Home Infusion Therapy Pharmacy
1821048950 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1821052929 282N00000X G 028 Hospital 091 General Acute Care Hospital
1821077025 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1821110982 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1821154253 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1821184904 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1821195959 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1821233073 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1821248477 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1821273681 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1821303397 251G00000X G 025 Agencies 454 HOSPICE
1821324476 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1821326570 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1821353848 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1831103449 282N00000X G 028 Hospital 091 General Acute Care Hospital
1831112358 282N00000X G 028 Hospital 091 General Acute Care Hospital
1831126374 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1831132133 282N00000X G 028 Hospital 091 General Acute Care Hospital
1831263110 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1831263185 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1831265958 3336H0001X G 033 Supplier 475 Home Infusion Therapy Pharmacy
1831267236 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1831267236 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1831271808 322D00000X G 032 Residential Treatment Facility 264 RTF Emotionally Disturbed Children
1831286160 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1831288968 341600000X G 034 Transportation 132 Ambulance
1831289362 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1831294008 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1831360635 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1831365519 282N00000X G 047 Indian Health Services/638 Tribal 091 General Acute Care Hospital
1831365519 261Q00000X G 047 Indian Health Services/638 Tribal 359 Clinic/Center
1831372416 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1831379155 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1831420348 311Z00000X G 043 Basic Care 079 Basic Care
1831425685 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1831435650 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1831502152 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1831504711 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1831509397 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1831559921 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1831580158 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1831585660 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1831593607 251B00000X G 025 Agencies 035 Case Management
1831598614 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1841200623 282N00000X G 028 Hospital 091 General Acute Care Hospital
1841242542 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1841258837 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1841260726 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1841266194 282N00000X G 028 Hospital 091 General Acute Care Hospital
1841272226 251E00000X G 025 Agencies 082 Home Health Agency
1841280823 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1841288644 282N00000X G 028 Hospital 091 General Acute Care Hospital
1841304342 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1841307766 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1841333697 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1841336930 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1841354107 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1841381811 332H00000X G 033 Supplier 384 Eyewear Supplier
1841382108 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1841479573 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1841502929 282N00000X G 028 Hospital 091 General Acute Care Hospital
1841521572 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1841526332 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1841547387 261QU0200X G 026 Ambulatory Health Care Facilities 288 Urgent Care Center
1841581212 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1841594900 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1841619798 251B00000X G 047 Indian Health Services/638 Tribal 035 Case Management
1841647542 251G00000X G 025 Agencies 454 HOSPICE
1841658887 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1841672227 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1841691789 311Z00000X G 043 Basic Care 079 Basic Care
1841693553 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1841701877 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1841723855 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1851311815 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1851317317 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1851317317 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1851335830 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1851335830 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1851343487 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1851344907 282N00000X G 028 Hospital 091 General Acute Care Hospital
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1851439939 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1851451207 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1851476105 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1851485262 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1851488332 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1851491641 341600000X G 034 Transportation 132 Ambulance
1851547160 261QU0200X G 026 Ambulatory Health Care Facilities 288 Urgent Care Center
1851547798 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1851579858 332800000X G 033 Supplier 486 IHS/Tribal/Urbn Indn Hlth (I/T/U) Pharm
1851582100 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1851626055 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1851682223 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1851702914 171M00000X G 017 Other Service Providers 468 County Social Service Office
1851708861 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1851768501 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1851782114 171M00000X G 017 Other Service Providers 468 County Social Service Office
1851837710 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1861408338 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1861432361 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1861432361 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1861450579 282N00000X G 028 Hospital 091 General Acute Care Hospital
1861458622 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1861462442 275N00000X G 027 Hospital Units 196 Swing Bed
1861463747 275N00000X G 027 Hospital Units 196 Swing Bed
1861469587 273R00000X G 027 Hospital Units 362 Psychiatric Unit:;Hospital Unit
1861470429 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1861473852 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1861497430 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1861500415 261QF0050X G 026 Ambulatory Health Care Facilities 015 Family Planning Non-Surgical
1861553844 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1861581373 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1861581779 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1861582884 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1861597981 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1861609935 341600000X G 034 Transportation 132 Ambulance
1861648834 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1861661142 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1861671034 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1861674210 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1861745838 311Z00000X G 043 Basic Care 079 Basic Care
1861761785 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1861767279 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1861804361 171M00000X G 017 Other Service Providers 468 County Social Service Office
1861828212 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1861866287 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1861877052 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1861878225 311Z00000X G 043 Basic Care 079 Basic Care
1861895906 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1861927709 333600000X G 033 Supplier 128 Pharmacy
1861945784 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1871524207 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1871554311 282N00000X G 028 Hospital 091 General Acute Care Hospital
1871560516 282N00000X G 028 Hospital 091 General Acute Care Hospital
1871586008 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1871592030 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1871615708 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1871622308 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1871650267 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1871684530 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1871691519 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1871691519 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1871691519 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1871708131 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1871719914 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1871771279 261QP1100X G 026 Ambulatory Health Care Facilities 048 Podiatric
1871780627 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1871815647 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1871828152 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1871829028 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1871903203 311Z00000X G 043 Basic Care 079 Basic Care
1871952119 261QM0850X G 026 Ambulatory Health Care Facilities 070 Adult Mental Health
1871991125 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1871991125 341600000X G 034 Transportation 132 Ambulance
1881001618 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1881008233 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1881008266 171M00000X G 017 Other Service Providers 468 County Social Service Office
1881015246 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1881024271 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1881084762 171M00000X G 017 Other Service Providers 335 Case Manager/Care Coordinator
1881610889 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1881630614 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1881631299 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1881648301 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1881651990 282N00000X G 028 Hospital 091 General Acute Care Hospital
1881668283 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1881687010 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1881690097 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1881698439 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1881699197 261QS0132X G 026 Ambulatory Health Care Facilities 410 Ophthalmologic Surgery
1881705499 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1881725737 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1881740629 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1881762565 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1881766525 341600000X G 034 Transportation 132 Ambulance
1881785053 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1881791721 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1881793750 282N00000X G 028 Hospital 091 General Acute Care Hospital
1881824977 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1881864163 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1881864494 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1881900306 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1881933034 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1891072823 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1891073003 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1891075230 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1891077921 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1891093985 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1891177200 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1891186722 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1891202354 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1891241139 311Z00000X G 043 Basic Care 079 Basic Care
1891713533 282N00000X G 028 Hospital 091 General Acute Care Hospital
1891718136 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1891728697 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1891747093 293D00000X G 029 Laboratories 366 Physiological Lab (Ind Physiological Lab
1891783965 261QS0132X G 026 Ambulatory Health Care Facilities 410 Ophthalmologic Surgery
1891804308 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1891808978 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1891810537 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1891850954 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1891854212 341600000X G 034 Transportation 132 Ambulance
1891859641 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1891861761 251E00000X G 025 Agencies 082 Home Health Agency
1891877239 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1891879839 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1891884144 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1891891149 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1891891792 282N00000X G 028 Hospital 091 General Acute Care Hospital
1891893624 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1891954574 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1902012404 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1902042609 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1902071095 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1902096563 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1902158264 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1902203854 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1902217474 261QP3300X G 026 Ambulatory Health Care Facilities 218 Pain Management
1902280837 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1902283054 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1902284573 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1902285828 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1902325319 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1902325996 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1902803802 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1902824576 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1902846462 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1902853120 261QF0050X G 026 Ambulatory Health Care Facilities 015 Family Planning Non-Surgical
1902865868 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1902883150 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1902887805 3336S0011X G 033 Supplier 482 Specialty Pharmacy
1902887805 333600000X G 033 Supplier 128 Pharmacy
1902904121 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1902948896 341600000X G 034 Transportation 132 Ambulance
1902992704 251E00000X G 025 Agencies 082 Home Health Agency
1902996457 341600000X G 034 Transportation 132 Ambulance
1912052234 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1912085184 282N00000X G 028 Hospital 091 General Acute Care Hospital
1912093725 275N00000X G 027 Hospital Units 196 Swing Bed
1912119504 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1912178724 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1912193343 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1912242223 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1912243148 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1912248576 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1912265489 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1912320540 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1912416876 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1912441411 332S00000X G 033 Supplier 383 Hearing Aid Equipment
1912903717 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1912921438 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1912930199 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1912932567 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1912954165 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1912958877 251E00000X G 025 Agencies 082 Home Health Agency
1912964768 282N00000X G 028 Hospital 091 General Acute Care Hospital
1912998386 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1922001122 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1922004092 341600000X G 034 Transportation 132 Ambulance
1922032424 282N00000X G 028 Hospital 091 General Acute Care Hospital
1922067305 261QS1000X G 026 Ambulatory Health Care Facilities 426 Student Health
1922074434 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1922085299 282N00000X G 028 Hospital 091 General Acute Care Hospital
1922112044 282NC2000X G 028 Hospital 517 General Acute Care Hospital; Children
1922121276 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1922143973 332S00000X G 033 Supplier 383 Hearing Aid Equipment
1922160159 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1922184167 323P00000X G 032 Residential Treatment Facility 258 Psychiatric Residential Treatment Fac.
1922195767 311Z00000X G 043 Basic Care 079 Basic Care
1922198803 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1922278373 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1922303213 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1922304716 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1922335538 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1922350636 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1922421601 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1922529932 251S00000X G 025 Agencies 453 Human Service Center
1922542919 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1932102027 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1932112125 282N00000X G 028 Hospital 091 General Acute Care Hospital
1932113768 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1932118056 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1932146941 251S00000X G 025 Agencies 453 Human Service Center
1932208808 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1932241676 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1932265048 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1932269750 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1932273281 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1932277936 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1932278892 341600000X G 034 Transportation 132 Ambulance
1932280666 282N00000X G 028 Hospital 091 General Acute Care Hospital
1932298544 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1932298544 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1932298544 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1932300951 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1932327624 251B00000X G 047 Indian Health Services/638 Tribal 035 Case Management
1932342029 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1932346251 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1932354701 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1932359544 3336I0012X G 033 Supplier 476 Institutional Pharmacy
1932361524 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1932400983 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1932426509 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1932472255 282N00000X G 028 Hospital 091 General Acute Care Hospital
1932494010 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1932513645 171M00000X G 017 Other Service Providers 468 County Social Service Office
1932534138 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1932543428 282N00000X G 028 Hospital 091 General Acute Care Hospital
1932547023 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1932565595 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1932588621 311Z00000X G 043 Basic Care 079 Basic Care
1932629755 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1932631280 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1932642790 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1932653888 261QM0855X G 026 Ambulatory Health Care Facilities 026 Adolescent and Children Mental Health
1942221999 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1942221999 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1942233234 282N00000X G 028 Hospital 091 General Acute Care Hospital
1942241351 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1942241351 261QP2000X G 026 Ambulatory Health Care Facilities 110 Physical Therapy
1942241351 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1942241351 261QS0132X G 026 Ambulatory Health Care Facilities 410 Ophthalmologic Surgery
1942241351 261QM1200X G 026 Ambulatory Health Care Facilities 395 Magnetic Resonance Imaging (MRI)
1942241351 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1942253547 282N00000X G 028 Hospital 091 General Acute Care Hospital
1942277835 282N00000X G 028 Hospital 091 General Acute Care Hospital
1942288329 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1942288329 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1942312392 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1942318308 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1942327549 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1942351002 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1942368352 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1942371067 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1942375852 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1942398508 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1942415468 3416A0800X G 034 Transportation 510 Ambulance- Air Transport
1942464888 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1942538608 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1942569512 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1942578562 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1942579081 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1942626395 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1942686860 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1942696802 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1952306656 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1952307175 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1952307852 282N00000X G 028 Hospital 091 General Acute Care Hospital
1952323974 261QX0100X G 026 Ambulatory Health Care Facilities 408 Occupational Medicine
1952331159 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1952331159 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1952346934 341600000X G 047 Indian Health Services/638 Tribal 132 Ambulance
1952346934 282N00000X G 047 Indian Health Services/638 Tribal 091 General Acute Care Hospital
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1952348013 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1952348013 261QA1903X G 026 Ambulatory Health Care Facilities 089 Ambulatory Surgical Center
1952381873 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1952381873 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1952383713 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1952407892 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1952413585 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1952448573 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1952461949 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1952470700 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1952481822 341600000X G 034 Transportation 132 Ambulance
1952484404 251G00000X G 025 Agencies 454 HOSPICE
1952511438 261QP0905X G 026 Ambulatory Health Care Facilities 416 Public Health State or Local
1952547978 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1952582983 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1952607277 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1952623076 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1952679318 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1952687295 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1952692451 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1952706053 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1952711764 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1952721581 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
1952827354 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1952828360 251S00000X G 025 Agencies 453 Human Service Center
1962411868 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1962415091 333600000X G 033 Supplier 128 Pharmacy
1962449835 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1962459842 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1962461889 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1962476259 332H00000X G 033 Supplier 384 Eyewear Supplier
1962548214 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1962574848 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1962580274 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1962594622 282N00000X G 028 Hospital 091 General Acute Care Hospital
1962614461 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1962673608 311Z00000X G 043 Basic Care 079 Basic Care
1962738542 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1962738542 261QR0200X G 026 Ambulatory Health Care Facilities 030 Radiology
1962746776 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1962751511 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1962753749 261QP1100X G 026 Ambulatory Health Care Facilities 048 Podiatric
1962780858 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1962791863 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1962823450 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1962840256 261QH0700X G 026 Ambulatory Health Care Facilities 332 Hearing and Speech
1962863324 261QF0400X G 026 Ambulatory Health Care Facilities 361 Federally Qualified Health Center
1972545572 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1972563815 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1972589182 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1972609303 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1972630275 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1972642213 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1972667673 261QE0700X G 026 Ambulatory Health Care Facilities 300 ESRD Treatment
1972671139 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1972692572 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1972692572 3336L0003X G 033 Supplier 477 Long Term Care Pharmacy
1972692572 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1972698975 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1972711968 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1972744431 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1972770030 261QF0050X G 026 Ambulatory Health Care Facilities 015 Family Planning Non-Surgical
1972784155 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1972799237 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1972817732 251E00000X G 025 Agencies 082 Home Health Agency
1972875490 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1982030177 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1982031746 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1982093043 171M00000X G 017 Other Service Providers 468 County Social Service Office
1982117602 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1982125456 193200000X G 026 Ambulatory Health Care Facilities 504 Multi-Specialty
1982149241 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1982600854 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1982606992 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1982612065 282N00000X G 028 Hospital 091 General Acute Care Hospital
1982655049 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1982655049 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1982674560 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1982712659 275N00000X G 027 Hospital Units 196 Swing Bed
1982734042 333600000X G 033 Supplier 128 Pharmacy
1982752630 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1982754552 261QM0801X G 026 Ambulatory Health Care Facilities 360 Mental Health (Incl Community M. H.)
1982754552 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1982770996 332H00000X G 033 Supplier 384 Eyewear Supplier
1982793030 341600000X G 034 Transportation 132 Ambulance
1982807723 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1982814497 3416L0300X G 034 Transportation 511 Ambulance- Land Transport
1982819561 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1982826756 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1982829768 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1982859617 3336C0003X G 033 Supplier 473 Community/Retail Pharmacy
1982927406 333600000X G 033 Supplier 128 Pharmacy
1982940862 291U00000X G 029 Laboratories 054 Clinical Medical Lab
1982954129 332B00000X G 033 Supplier 113 DME & Medical Suppliers
1982954129 333600000X G 033 Supplier 128 Pharmacy
1992014518 261QR1300X G 026 Ambulatory Health Care Facilities 268 Rural Health Clinic
1992126007 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
1992722904 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1992736649 282N00000X G 028 Hospital 091 General Acute Care Hospital
1992786008 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1992798409 282N00000X G 028 Hospital 091 General Acute Care Hospital
1992833909 193400000X G 026 Ambulatory Health Care Facilities 503 Single Specialty
June 12, 2018
ND Medicaid Provider Taxonomy Listing-Group
1992839526 275N00000X G 027 Hospital Units 196 Swing Bed
1992861827 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1992869770 314000000X G 031 Nursing & Custodial Care Fac 269 Skilled Nursing Facility
1992900393 261QM1300X G 026 Ambulatory Health Care Facilities 528 Clinic/Center; Multi Specialty
1992929913 251300000X G 025 Agencies 397 Local Education Agcy/Special Education
1992947956 261Q00000X G 026 Ambulatory Health Care Facilities 359 Clinic/Center
1992947956 282NC0060X G 028 Hospital 111 Critical Access: Hospital
1992964530 261QD0000X G 026 Ambulatory Health Care Facilities 437 Dental Clinic
June 12, 2018