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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 5009B | ND | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 001960 | 05 | |
ND | ND BLUE CROSS SB | 012443 | 01 |
ND | 21379 | 05 |
Other Name | Type Code |
---|---|
Pembina County Memorial Hospital Swing Bed | Other Name - Individual/Organization |
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 |
Street Address |
301 MOUNTAIN ST E |
City | CAVALIER |
State | ND |
Zip Code | 58220-0380 |
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 |
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 |
Find all providers in zip 58220 |
Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
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. |
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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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.