MERCY HOSPITAL OF DEVILS LAKE (NPI# 1184117293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184117293 |
Entity Type | Organization |
Organization Name | MERCY HOSPITAL OF DEVILS LAKE |
Other Organization Name | CHI ST ALEXIUS HEALTH DEVILS LAKE CLINIC |
Practice Address |
425 College Dr S Ste 14 Devils Lake ND 58301 |
Mailing Address |
425 College Dr S Ste 14 Devils Lake ND 58301-3537 |
Practice Telephone | 7016628662 |
Mailing Telephone | 7016628662 |
Enumeration Date | 2018-06-13 |
Last Update Date | 2018-09-26 |
Authorized Official Name | ANDREW JOSEPH LANKOWICZ (PRESIDENT) |
Authorized Official Telephone | 7016622131 |
Is Organization Subpart | Y |
Parent Organization Name | MERCY HOSPITAL OF DEVILS LAKE |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
5012 | ND | Ambulatory Health Care Facilities |
N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
5012 | ND | Ambulatory Health Care Facilities |
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 1475134 | 05 |
Other Name | Type Code |
---|---|
CHI ST ALEXIUS HEALTH DEVILS LAKE CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609972884 | Mercy Hospital of Devils Lake | Medicare Defined Swing Bed Unit | 1031 7th Street Ne, Devils Lake, ND 58301-2798 | 2006-09-15 |
1225009038 | Mercy Hospital of Devils Lake | Hospice Care, Community Based | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-01-30 |
1376514240 | Mercy Hospital of Devils Lake | Durable Medical Equipment & Medical Supplies | 223 4th Avenue, Devils Lake, ND 58301 | 2006-01-30 |
1790751170 | Mercy Hospital of Devils Lake | Emergency Medicine | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-02-27 |
1659343093 | Mercy Hospital of Devils Lake | General Acute Care Hospital | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-02-01 |
1356312227 | Mercy Hospital of Devils Lake | Home Health | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-01-30 |
Street Address |
425 COLLEGE DR S STE 14 |
City | DEVILS LAKE |
State | ND |
Zip Code | 58301 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609803394 | Amy Cox | Nurse Practitioner | 425 College Dr S Ste 14, Devils Lake, ND 58301 | 2006-06-27 |
1700023512 | Angela Jean Dugan | Physician Assistant | 425 College Dr S Ste 14, Devils Lake, ND 58301 | 2009-01-15 |
1194745935 | Towner County Medical Center Inc | Clinic/Center | 425 College Dr S Ste 14, Devils Lake, ND 58301-3537 | 2006-07-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
Find all providers in zip 58301 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871088674 | Lifewise Associates LLC | Clinic/Center | 210 Highway 2 W Ste 10, Devils Lake, ND 58301-2913 | 2018-06-25 |
1902283054 | Kathryn Kram, Chiropractic, Pllc | Clinic/Center | 204 College Dr N, Devils Lake, ND 58301-2925 | 2015-04-28 |
1861581373 | Altru Health System | Clinic/Center | 1001 7th St Ne, Devils Lake, ND 58301-1100 | 2006-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104441641 | Altru Health System | Clinic/Center | 233 Towner Ave, Larimore, ND 58251 | 2020-06-10 |
1316580343 | Moos Family Chiropractic LLC | Clinic/Center | 517 S 5th St, Bismarck, ND 58504-5702 | 2019-10-22 |
1679139323 | St Aloisius Hospital Inc | Clinic/Center | 61 Main Ave S, Fessenden, ND 58438-7101 | 2019-05-17 |
1225503972 | Central Dakota Forensic Nurse Examiners | Clinic/Center | 1929 N Washington St Ste W, Bismarck, ND 58501-1616 | 2018-10-09 |
1003399064 | Ideal Option, Pllc | Clinic/Center | 44 24th St E, Dickinson, ND 58601-6576 | 2018-09-14 |
1174001416 | Ideal Option, Pllc | Clinic/Center | 1260 W Villard St Unit 1, Dickinson, ND 58601-4848 | 2018-07-30 |
1376020396 | Ideal Option, Pllc | Clinic/Center | 3520 N Broadway, Minot, ND 58703-0513 | 2018-07-23 |
1518462894 | Ideal Option, Pllc | Clinic/Center | 316 2nd Ave W Ste 1, Williston, ND 58801-5218 | 2018-03-28 |
1720588171 | Ideal Option, Pllc | Clinic/Center | 3301 30th Ave S Ste 102, Grand Forks, ND 58201-6009 | 2018-02-12 |
1093172827 | Terry N Braun Counseling LLC | Clinic/Center | 1042 14th Ave E Ste 210, West Fargo, ND 58078-3363 | 2016-01-25 |
Find all providers with the same taxonomy |
City | DEVILS LAKE |
Zip Code | 58301 |
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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.