PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION


Address: 301 Mountain St E, Cavalier, ND 58220-0380
Phone: 7012658461

PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION (NPI# 1063634210) 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) 1063634210
Entity Type Organization
Organization Name PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
Other Organization Name PEMBINA COUNTY MEMORIAL HOSPITAL SWING BED
Practice Address 301 Mountain St E
Cavalier
ND 58220-0380
Mailing Address 301 Mountain St E
P O Box 380
Cavalier
ND 58220-0380
Practice Telephone 7012658461
Practice Fax Number 7012658752
Mailing Telephone 7012658461
Mailing Fax Number 7012658752
Enumeration Date 2007-05-03
Last Update Date 2014-04-24
Authorized Official Name MRS. TANYA R SHARP (CEO)
Authorized Official Telephone 7012656336
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit 5009B ND Hospital Units

Other Provider Identifier

State Issuer Identifier Type Code
ND 001960 05
ND ND BLUE CROSS SB 012443 01
ND 21379 05

Other Provider/Organization Names

Other Name Type Code
Pembina County Memorial Hospital Swing Bed Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356487565 Pembina County Memorial Hospital Association Skilled Nursing Facility 804 Main St W, Cavalier, ND 58220-4646 2007-01-29
1760542500 Pembina County Memorial Hospital Association General Acute Care Hospital 301 Mountain St E, Cavalier, ND 58220 2006-12-11
1205244944 Pembina County Memorial Hospital Association Physician Assistant 301 Mountain St E, Cavalier, ND 58220-4015 2014-07-25
1417093949 Pembina County Memorial Hospital Association Clinic/Center 301 Mountain St E, Cavalier, ND 58220-4015 2007-01-30

Office Location

Street Address 301 MOUNTAIN ST E
City CAVALIER
State ND
Zip Code 58220-0380

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760542500 Pembina County Memorial Hospital Association General Acute Care Hospital 301 Mountain St E, Cavalier, ND 58220 2006-12-11
1205366788 Kimberly Ford Nurse Practitioner 301 Mountain St E, Cavalier, ND 58220-4015 2017-06-15
1316311582 Kaci Sharp Dietitian, Registered 301 Mountain St E, Cavalier, ND 58220-4015 2015-11-25
1346649829 Laura Dawn Ermer Physician Assistant 301 Mountain St E, Cavalier, ND 58220-4015 2014-08-20
1205244944 Pembina County Memorial Hospital Association Physician Assistant 301 Mountain St E, Cavalier, ND 58220-4015 2014-07-25
1558619692 Alyssa Marie Rollness Physical Therapist 301 Mountain St E, Cavalier, ND 58220-4015 2012-08-21
1205962909 Cavalier Ambulance Service, Inc Ambulance 301 Mountain St E, Cavalier, ND 58220-4015 2007-02-26
1417093949 Pembina County Memorial Hospital Association Clinic/Center 301 Mountain St E, Cavalier, ND 58220-4015 2007-01-30
1184760274 Kulvinder Sumra Family Medicine 301 Mountain St E, Cavalier, ND 58220-4015 2007-01-29
1104962299 Renee Lee Physician Assistant 301 Mountain St E, Cavalier, ND 58220-4015 2007-01-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184045908 April Waters Local Education Agency (LEA) 106b Division Ave N, Cavalier, ND 58220 2013-12-20
1447536578 Stevens Dental Group Dentist 202 East 3rd Avenue South, Cavalier, ND 58220 2011-11-03
1871714816 Susan Schrader Occupational Therapist 106b Division Avenue North, Cavalier, ND 58220 2007-05-01
1023238508 Brenda Sue Brumbaugh Speech-Language Pathologist 300 Main St. East, Cavalier, ND 58220 2007-04-26
1508982547 Chris Houska Speech-Language Pathologist 106b Division Ave. N., Cavalier, ND 58220 2007-03-21
1285771303 Pembina Special Education Cooperative Physical Therapist 106b Division Ave., Cavalier, ND 58220 2007-01-30
1689722308 Rehab Products Inc Durable Medical Equipment & Medical Supplies 708 Division Avenue South, Cavalier, ND 58220 2007-01-08
1366523482 Rehab Products, Inc Durable Medical Equipment & Medical Supplies 708 Division Street South, Rehab Products Inc, Cavalier, ND 58220 2006-10-17
1265525299 Judy A Pegg Physician Assistant 301 Mountain St E; Ste A, Cavalier, ND 58220 2006-10-02
1881785244 Eric J Larson Internal Medicine 201 East 3rd Avenue South, Cavalier, ND 58220 2006-09-28
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Taxonomy Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
Notes: Source: Code of Federal Regulations #42, Section 482.66.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1518068949 Southwest Healthcare Services Medicare Defined Swing Bed Unit 14 6th Ave Sw, Bowman, ND 58623-0009 2006-09-26
1003913518 Northwood Deaconess Health Center Medicare Defined Swing Bed Unit 4 North Park Street, Northwood, ND 58267-0190 2006-09-19
1609972884 Mercy Hospital of Devils Lake Medicare Defined Swing Bed Unit 1031 7th Street Ne, Devils Lake, ND 58301-2798 2006-09-15
1427079854 Mckenzie County Healthcare Systems Inc Medicare Defined Swing Bed Unit 516 North Main Street, Watford City, ND 58854 2006-07-21
1861462442 Garrison Memorial Hospital Medicare Defined Swing Bed Unit 407 3rd Ave Se, Garrison, ND 58540-7235 2006-01-25
1487889614 St Joseph's Hospital and Health Center Medicare Defined Swing Bed Unit 2500 Fairway St, Dickinson, ND 58601 2009-05-18
1639296007 St Aloisius Hospital Inc Medicare Defined Swing Bed Unit 325 Brewster St E, Harvey, ND 58341-1653 2007-03-23
1619033917 Presentation Medical Center Medicare Defined Swing Bed Unit 213 2nd Ave Ne, Rolla, ND 58367-0759 2006-12-29
1689735235 Nelson County Health System Medicare Defined Swing Bed Unit 200 North Main Street, Mcville, ND 58254-0367 2006-12-13
1770669921 Mountrail County Medical Center, Inc. Medicare Defined Swing Bed Unit 615 6th St Se, Stanley, ND 58784-4444 2006-10-31
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Competitor

Search similar providers

City CAVALIER
Zip Code 58220

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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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