HAZEN MEMORIAL HOSPITAL ASSOCIATION (NPI# 1174597173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174597173 |
| Entity Type | Organization |
| Organization Name | HAZEN MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | SAKAKAWEA HAZEN CLINIC |
| Practice Address |
517 8th Ave Ne Hazen ND 58545-4638 |
| Practice Telephone | 7017482256 |
| Practice Fax Number | 7017482257 |
| Mailing Telephone | 7017482256 |
| Mailing Fax Number | 7017482257 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2008-05-01 |
| Authorized Official Name | JAMES MARSHALL (CEO) |
| Authorized Official Telephone | 7017482225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
353444 | ND | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SAKAKAWEA HAZEN CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578781324 | Hazen Memorial Hospital Association | Home Health | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2007-04-24 |
| 1730306812 | Hazen Memorial Hospital Association | Hospice Care, Community Based | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2007-04-19 |
| 1700965696 | Hazen Memorial Hospital Association | General Acute Care Hospital | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2006-11-03 |
| 1356315220 | Hazen Memorial Hospital Association | Family Medicine | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2006-02-15 |
| Street Address |
517 8TH AVE NE |
| City | HAZEN |
| State | ND |
| Zip Code | 58545-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285920587 | Heather Ann Czywczynski | Nurse Practitioner | 517 8th Ave Ne, Hazen, ND 58545-4638 | 2011-06-24 |
| 1750355533 | Michael Blacksmith | Family Medicine | 517 8th Ave Ne, Hazen, ND 58545-4638 | 2006-02-16 |
| 1073587044 | Armand William Gehring | General Practice | 517 8th Ave Ne, Hazen, ND 58545-4638 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962746776 | Pfliger Chiropractic Clinic PC | Chiropractor | 706 8th Ave. Ne, Hazen, ND 58545 | 2012-11-16 |
| 1932378007 | Michael Ralph Chase | Pharmacist | 30 Main Rd W, Hazen, ND 58545 | 2008-02-22 |
| 1740402189 | Noell Debra Just | Pharmacist | 30 West Main, Hazen, ND 58545 | 2007-05-03 |
| 1710024807 | Hazen Drug Inc. | Pharmacist | 30 Main Street, Hazen, ND 58545 | 2007-01-30 |
| 1336291822 | Alicia Wolstenholm | Speech-Language Pathologist | 238 1st Ave Ne, Hazen, ND 58545 | 2007-01-17 |
| 1174697759 | Oliver Mercer Special Education Unit | Local Education Agency (LEA) | 507 1st Ave Ne, Hazen, ND 58545 | 2006-11-17 |
| 1568628303 | Darlene Sandra White | Counselor | 510 8th Ave Ne, Hazen, ND 58545 | 2008-07-31 |
| 1538320932 | Sharold Edwin Oster | Counselor | 510 8th Ave Ne, 5 Sakakawea Medical Center, Hazen, ND 58545 | 2008-06-19 |
| 1225176613 | Jesse J Krieger | Speech-Language Pathologist | 507 1st Ave Ne, Hazen, ND 58545 | 2007-02-01 |
| 1699812602 | Amber Kaylor | Speech-Language Pathologist | 500 Central Ave, Hazen, ND 58545 | 2007-01-31 |
| Find all providers in zip 58545 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
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| 1891859948 | Nelson County Health System | Clinic/Center | 117 2nd St West, Lakota, ND 58344 | 2006-12-21 |
| 1760570394 | West River Health Services | Clinic/Center | 211 Main Street, Scranton, ND 58653 | 2006-10-10 |
| 1942398508 | West River Health Services | Clinic/Center | 420 Pacific Ave, Mott, ND 58646 | 2006-10-10 |
| 1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
| 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.