NORTH DAKOTA STATE HOSPITAL


Address: 2605 Circle Dr, Jamestown, ND 58401-6905
Phone: 7012533650

NORTH DAKOTA STATE HOSPITAL (NPI# 1043260722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043260722
Entity Type Organization
Organization Name NORTH DAKOTA STATE HOSPITAL
Other Organization Name NORTH DAKOTA STATE HOSPITAL PHARMACY
Practice Address 2605 Circle Dr
Jamestown
ND 58401-6905
Practice Telephone 7012533650
Practice Fax Number 7012533035
Mailing Telephone 7012533650
Mailing Fax Number 7012533035
Enumeration Date 2006-05-11
Last Update Date 2016-06-01
Authorized Official Name ROSALIE ETHERINGTON (SUPERINTENDENT)
Authorized Official Telephone 7012533964
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
N 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers
Y 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
188 ND Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2071611 01
ND 21476 05

Other Provider/Organization Names

Other Name Type Code
NORTH DAKOTA STATE HOSPITAL PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336273432 North Dakota State Hospital Psychiatric Residential Treatment Facility 2207 2211 Cottage Lane, Jamestown, ND 58401 2007-03-14
1649227075 North Dakota State Hospital Clinic/Center 2605 Circle Dr, Jamestown, ND 58401-6905 2006-05-30

Office Location

Street Address 2605 CIRCLE DR
City JAMESTOWN
State ND
Zip Code 58401-6905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447851605 Susan Jean Anderson Social Worker 2605 Circle Dr, Jamestown, ND 58401-6905 2020-11-04
1861099822 Tanesha Roehrich Occupational Therapy Assistant 2605 Circle Dr, Jamestown, ND 58401-6905 2020-10-02
1629682992 Melanie Flynn Counselor 2605 Circle Dr, Jamestown, ND 58401-6905 2020-09-03
1295350114 Callie Krause Family Medicine 2605 Circle Dr, Jamestown, ND 58401-6905 2020-06-16
1235642653 Alex Zeitchick Psychologist 2605 Circle Dr, Jamestown, ND 58401-6905 2017-11-07
1033556295 Candida D Hoggarth-baldwin Nurse Practitioner 2605 Circle Dr, North Dakota State Hospital, Jamestown, ND 58401-6905 2013-05-29
1467705822 Ann E Engel Psychologist 2605 Circle Dr, Jamestown, ND 58401 2012-10-23
1316175862 Robert D. Lisota Specialist 2605 Circle Dr, Jamestown, ND 58401-6905 2009-06-23
1558407916 Lynne E. Sullivan Psychologist 2605 Circle Dr, Jamestown, ND 58401-6905 2007-01-30
1326184706 Joseph Belanger Psychologist 2605 Circle Dr, Jamestown, ND 58401-6905 2007-01-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396343737 Face and Jaw Surgeons PC Dentist 1517 12 Ave Ne, Jamestown, ND 58401 2020-10-16
1194216481 Richard Yonick Case Manager/Care Coordinator South Central Human Service Center, 520 3rd St Nw, Jamestown, ND 58401 2018-05-23
1831607910 Creative Journey, LLC Clinic/Center 429 2nd St Sw Ste 205, Jamestown, ND 58401 2018-01-11
1619399334 Stutsman County Social Services Case Manager/Care Coordinator 116 1st Street East, Jamestown, ND 58401 2014-01-15
1073945176 Sarah Walker Pharmacist 410 10th Street Se, Suite 8, Jamestown, ND 58401 2013-07-31
1811339369 Yvette D Patrick Occupational Therapist 207 2nd Avenue Se, Jamestown, ND 58401 2013-07-25
1144582933 Anne Carlsen Center Intermediate Care Facility, Mentally Retarded 701 3rd Steeet Nw, Jamestown, ND 58401 2012-06-08
1407008360 Jacob Dale Reinarts Counselor 2504 Circle Dr # 58401, Jamestown, ND 58401 2008-10-22
1548426430 Shipley Basic Care Alzheimer Center (Dementia Center) 1505 3 St Se, Jamestown, ND 58401 2008-07-31
1831384445 Drake Counseling Services Clinic/Center 1210 13th Ave Sw, Jamestown, ND 58401 2007-09-07
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Taxonomy Information

Taxonomy Code 3336I0012X
Grouping Suppliers
Classification Pharmacy
Specialization Institutional Pharmacy

Taxonomy Definition

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871898304 Corrections and Rehabilitation Pharmacy 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 2011-01-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407024896 Carrington Health Center Pharmacy 800 N 4th Street, Carrington Health Center, Carrington, ND 58421 2008-02-19
1225492259 St. Andrew's Health Center Pharmacy Pharmacy 316 Ohmer St, Bottineau, ND 58318-1045 2016-04-06
1013193523 Mercy Hospital Pharmacy 570 Chautauqua Blvd, Valley City, ND 58072-3145 2008-01-15
1932385705 Mckenzie County Healthcare Systems Inc Pharmacy 516 N Main St, Watford City, ND 58854-7310 2008-01-11
1346468154 Tioga Medical Center Pharmacy Pharmacy 810 N Welo St, Tioga, ND 58852-7157 2007-04-24
1871622308 Good Samaritan Hospital Association Pharmacy 800 S Main Ave, Rugby, ND 58368-2118 2007-03-02
1780740076 Sanford Medical Center Fargo Pharmacy 801 Broadway N, Fargo, ND 58102-3641 2006-12-29
1588773634 Mercy Medical Center Pharmacy 1301 15th Ave W, Williston, ND 58801-3821 2006-08-30

Competitor

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City JAMESTOWN
Zip Code 58401

Improve Information

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Dataset Information

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.

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