QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY (NPI# 1003212424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003212424 |
| Entity Type | Organization |
| Organization Name | QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY |
| Practice Address |
1300 Hospital Loop Belcourt ND 58316-0160 |
| Mailing Address |
Po Box 160 Belcourt ND 58316-0160 |
| Practice Telephone | 7014776111 |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | DELAND DAVIS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7014778405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 1859 | ND | Hospitals |
| Street Address |
1300 HOSPITAL LOOP |
| City | BELCOURT |
| State | ND |
| Zip Code | 58316-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760468078 | Therese Mcmahan | Nurse Practitioner | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2005-12-19 |
| 1366074379 | Rachel Marie Modrow | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2020-02-07 |
| 1760025753 | Zyonne Theo Servo Arcena | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2019-10-22 |
| 1346882230 | Alicia May Dolbeare | Nurse Practitioner | 1300 Hospital Loop, Belcourt, ND 58316 | 2019-10-11 |
| 1689229346 | Abby Wilder | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2019-08-08 |
| 1871074492 | Andrew Kenneth Glatz | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-08-22 |
| 1811482334 | Jenna Leigh Larson | Family Medicine | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-06-27 |
| 1790288025 | Mikisha Longie | Registered Nurse | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-03-13 |
| 1891293965 | My-oanh Thi Nguyen | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-01-24 |
| 1578081238 | Marianne Young Eagle | Registered Nurse | 1300 Hospital Loop, Belcourt, ND 58316 | 2017-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012656 | Ryan Wickerham | Technician | 9862 46th Ave Ne 1191 Kent Addition, 1191, Belcourt, ND 58316 | 2020-10-31 |
| 1396345146 | Melinda Marie Desjarlais | Technician | 9826 46th Ave Ne, Belcourt, ND 58316 | 2020-10-30 |
| 1417591140 | Molly Sue Beyer | Nurse Practitioner | 1300 Hospital Loop Road, Belcourt, ND 58316 | 2019-11-06 |
| 1114430519 | John Robert Kerr | Dentist | Quentin N. Burdick Memorial Hospital 1300 Hospital Loop, Belcourt, ND 58316 | 2017-11-08 |
| 1174979694 | Jan Birkland | Case Manager/Care Coordinator | 4051 Highway 281, Belcourt, ND 58316 | 2016-05-13 |
| 1841644291 | Berry James Poitra | Pharmacist | Moonlight Drive Highway 5, Belcourt, ND 58316 | 2016-04-21 |
| 1114380748 | Bernice Delorme | Social Worker | Bldg 152, John Norquay Street, Belcourt, ND 58316 | 2016-03-31 |
| 1326425943 | Turtle Mountain Band of Chippewa | Private Vehicle | 1023 Chief Little Shell Street Ne, Belcourt, ND 58316 | 2015-05-04 |
| 1336535038 | Turlte Mountain Maternal Child Health Program | Case Management | Building 150 John Norquay Street, Belcourt, ND 58316 | 2015-04-09 |
| 1982006672 | Eugene Monette | Physical Therapist | 4278 Bia Road 8, Belcourt, ND 58316 | 2014-09-24 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023139359 | Trinity Hospitals | General Acute Care Hospital | 1310 Hospital Loop Road, Belcourt, ND 58316 | 2007-04-03 |
| 1508077553 | Quinten Burdick Memorial Hospital Care Facility | General Acute Care Hospital | One Hospital Road, Belcourt, ND 58316 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245519081 | Sanford Medical Center Fargo | General Acute Care Hospital | 2990 Seter Parkway, Fargo, ND 58104-8750 | 2011-08-10 |
| 1841407418 | Fort Yates Ihs Hospital | General Acute Care Hospital | N 10 River Road, Fort Yates, ND 58538-0527 | 2007-05-16 |
| 1154497196 | Robert E Hieb | General Acute Care Hospital | 1525 Buccaneer Pl, Bismarck, ND 58504-8982 | 2006-11-28 |
| 1659813343 | Sarah Klemisch | General Acute Care Hospital | 2101 Elm St N, Fargo, ND 58102-2417 | 2016-11-10 |
| 1760886857 | Sanford Health Organization | General Acute Care Hospital | 2301 25th St S, Fargo, ND 58103-6104 | 2014-10-17 |
| 1588900500 | Veterans Administration Health Care | General Acute Care Hospital | 2101 Elm St N, Fargo, ND 58102-2417 | 2012-12-19 |
| 1508141425 | Doctors Hospital-grand Forks, LLC | General Acute Care Hospital | 1451 44th Ave S, Grand Forks, ND 58201-3434 | 2011-10-12 |
| 1700114907 | Aurora Medical Center, LLC | General Acute Care Hospital | 1451 44th Ave S, Grand Forks, ND 58201-3434 | 2009-11-27 |
| 1932359544 | Trinity Hospitals | General Acute Care Hospital | 407 3rd St Se, Minot, ND 58701 | 2008-09-19 |
| 1215125463 | Innovis Health, LLC | General Acute Care Hospital | 3000 32nd Ave S, Fargo, ND 58103 | 2007-10-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.