NORTHWOOD DEACONESS HEALTH CENTER (NPI# 1063401867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063401867 |
| Entity Type | Organization |
| Organization Name | NORTHWOOD DEACONESS HEALTH CENTER |
| Practice Address |
4 N Park St Northwood ND 58267-4102 |
| Mailing Address |
Po Box 190 4 N. Park St. Northwood ND 58267-0190 |
| Practice Telephone | 7015876459 |
| Practice Fax Number | 7015876479 |
| Mailing Telephone | 7015876459 |
| Mailing Fax Number | 7015876479 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PETE L ANTONSON (CEO) |
| Authorized Official Telephone | 7015876459 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1045A | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 30031 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023550118 | Northwood Deaconess Health Center | Clinic/Center | 308 Whinery Street, Binford, ND 58416 | 2016-11-07 |
| 1689085797 | Northwood Deaconess Health Center | Clinic/Center | 611 Towner Ave, Larimore, ND 58251 | 2014-05-12 |
| 1356449136 | Northwood Deaconess Health Center | Clinical Medical Laboratory | 4 North Park St, Northwood, ND 58267-0190 | 2006-09-20 |
| 1003913518 | Northwood Deaconess Health Center | Medicare Defined Swing Bed Unit | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-19 |
| 1346848330 | Northwood Deaconess Health Center | In Home Supportive Care | 4 N Park St, Northwood, ND 58267-4102 | 2020-10-13 |
| 1477964674 | Northwood Deaconess Health Center | Clinic/Center | 4 N Park St, Northwood, ND 58267-4102 | 2014-05-12 |
| 1225457864 | Northwood Deaconess Health Center | Durable Medical Equipment & Medical Supplies | 4 N Park St, Northwood, ND 58267-4102 | 2014-04-10 |
| 1184722969 | Northwood Deaconess Health Center | Skilled Nursing Facility | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHWOOD DEACONESS HEALTH CENTER | 4 N Park St, Northwood, ND 58267-4102 |
| Street Address |
4 N PARK ST |
| City | NORTHWOOD |
| State | ND |
| Zip Code | 58267-4102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848330 | Northwood Deaconess Health Center | In Home Supportive Care | 4 N Park St, Northwood, ND 58267-4102 | 2020-10-13 |
| 1487192720 | Chelsea De Bruto | Occupational Therapist | 4 N Park St, Northwood, ND 58267-4102 | 2017-02-07 |
| 1376950782 | Elizabeth Sandberg | Nurse Practitioner | 4 N Park St, Northwood, ND 58267-4102 | 2014-07-17 |
| 1477964674 | Northwood Deaconess Health Center | Clinic/Center | 4 N Park St, Northwood, ND 58267-4102 | 2014-05-12 |
| 1225457864 | Northwood Deaconess Health Center | Durable Medical Equipment & Medical Supplies | 4 N Park St, Northwood, ND 58267-4102 | 2014-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356449136 | Northwood Deaconess Health Center | Clinical Medical Laboratory | 4 North Park St, Northwood, ND 58267-0190 | 2006-09-20 |
| 1003913518 | Northwood Deaconess Health Center | Medicare Defined Swing Bed Unit | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-19 |
| 1184722969 | Northwood Deaconess Health Center | Skilled Nursing Facility | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-20 |
| 1548886591 | Pharmacists Associates LLC | Pharmacy | 10 North Main Street, Northwood, ND 58267-0399 | 2020-06-24 |
| 1063690774 | Pharmacists Associates LLC | Pharmacy | 10 N Main Street, Northwood, ND 58267-0399 | 2008-02-05 |
| 1699954545 | Northwood Chiropractic PC | Chiropractor | 12 N Park St, Northwood, ND 58267-0442 | 2007-10-29 |
| 1780877787 | Erik J Thorsgard | Chiropractor | 12 N Park St, Northwood, ND 58267-0442 | 2007-08-22 |
| 1639595747 | Betty Ellingson | Speech-Language Pathologist | 208 N Berg St, Box 24, Northwood, ND 58267-4016 | 2014-03-13 |
| 1326048232 | Condetta Ness | Physician Assistant | 104 N Park St, Northwood, ND 58267-4103 | 2005-07-21 |
| 1245518174 | Tracy Jo Enger | Nurse Practitioner | 104 N Park St, Northwood, ND 58267-4103 | 2011-07-26 |
| Find all providers in zip 58267 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184722969 | Northwood Deaconess Health Center | Skilled Nursing Facility | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760033997 | Oluwakemi Isokpan | Skilled Nursing Facility | 1323 Legion Ln W, West Fargo, ND 58078-8523 | 2019-09-29 |
| 1164809562 | Eventide Fargo LLC | Skilled Nursing Facility | 3225 51st St S, Fargo, ND 58104-7180 | 2015-05-05 |
| 1841691789 | Tufte Manor | Skilled Nursing Facility | 3300 Cherry St, Grand Forks, ND 58201-7634 | 2014-09-10 |
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1215256078 | Eventide Jamestown LLC | Skilled Nursing Facility | 1300 2nd Pl Ne, Jamestown, ND 58401-3709 | 2010-05-19 |
| 1427371889 | Benedictine Living Communities-bismarck, Inc. | Skilled Nursing Facility | 4580 Coleman Street, Bismarck, ND 58503-0347 | 2010-03-12 |
| 1508197013 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 301 Lorrain Dr, Bismarck, ND 58503-0311 | 2010-01-22 |
| 1144485608 | Villa Maria | Skilled Nursing Facility | 3102 University Dr S, Fargo, ND 58103-6004 | 2008-07-24 |
| 1477737625 | Pat Sitzer | Skilled Nursing Facility | 751 1st St., Pat Sizer, Minto, ND 58261 | 2007-12-24 |
| 1205041985 | Benedictine Living Center of Garrison | Skilled Nursing Facility | 609 Fourth Ave Ne, Garrison, ND 58540-0219 | 2007-05-14 |
| Find all providers with the same taxonomy | ||||
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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.