NORTH DAKOTA YOUTH CORRECTIONAL CENTER
NPI 1790080356
Clinic/Center in Mandan, ND

Q: What is North Dakota Youth Correctional Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since January 12, 2011CLIA 35D1062169 · Waiver

701 16TH AVE SW, MANDAN, ND 58554(701) 667-1400(701) 667-1414 Get Directions Write a Review

NPPES record last updated: July 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About North Dakota Youth Correctional Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH DAKOTA YOUTH CORRECTIONAL CENTER (NPI 1790080356) is a healthcare organization registered as a clinic/center in Mandan, North Dakota and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Ron Crouse, Director, as its authorized official.

NPPES Registry Identity

NPI1790080356

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameNORTH DAKOTA YOUTH CORRECTIONAL CENTER

Location Address701 16TH AVE SWMandan, ND 58554-5800

Mailing Address701 16th Ave SwMandan, ND 58554-5800 · (701) 667-1400 · Fax (701) 667-1414

Phone(701) 667-1400

Fax(701) 667-1414

Organization SubpartNo

Authorized OfficialRon CrouseDirector · (701) 667-1401

Enumeration DateJanuary 12, 2011

Last NPPES UpdateJuly 13, 2011

✔ NPI 1790080356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

701 16TH AVE SW, Mandan, ND 58554

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D1062169

North Dakota Youth Correctional Center · Mandan, ND

Active · expires Dec 6, 2026

CLIA Number35D1062169

Laboratory TypeOther

Certificate Effective DateDecember 7, 2024

Certificate Expiration DateDecember 6, 2026

Laboratory DirectorDr R Tello

Laboratory Phone(701) 667-1400

Laboratory LocationNorth Dakota Youth Correctional Center701 16th Ave SW, Mandan, ND 58554

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RHIANON MARIE KORBYN FNP

Nurse Practitioner (Family)

701 16TH AVE SW
MANDAN, ND 58554

Morton County (701) 667-1409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Dakota Youth Correctional Center's NPI number?

The NPI number for North Dakota Youth Correctional Center is 1790080356. It was assigned to this organization in the NPPES registry on January 12, 2011.

Where is North Dakota Youth Correctional Center located?

North Dakota Youth Correctional Center is located at 701 16th Ave SW, Mandan, ND 58554. The listed phone number is (701) 667-1400.

What is North Dakota Youth Correctional Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does North Dakota Youth Correctional Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1062169) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Dakota Youth Correctional Center was last updated on July 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.