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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2071611 | 01 | |
ND | 21476 | 05 |
Other Name | Type Code |
---|---|
NORTH DAKOTA STATE HOSPITAL PHARMACY | Doing Business As Name - Organization |
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 |
Street Address |
2605 CIRCLE DR |
City | JAMESTOWN |
State | ND |
Zip Code | 58401-6905 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 58401 |
Taxonomy Code | 3336I0012X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Institutional Pharmacy |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871898304 | Corrections and Rehabilitation | Pharmacy | 5100 O'byrnes Ferry Road, Attn: Pharmacy, Jamestown, CA 95327 | 2011-01-13 |
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 |
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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.