COOPERSTOWN MEDICAL CENTER (NPI# 1235239229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235239229 |
| Entity Type | Organization |
| Organization Name | COOPERSTOWN MEDICAL CENTER |
| Other Organization Name | COOPERSTOWN MEDICAL CENTER CRITICAL ACCESS HOSPITAL |
| Practice Address |
1200 Roberts Ave Ne Cooperstown ND 58425-7101 |
| Practice Telephone | 7017972221 |
| Mailing Telephone | 7017972221 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | NICOLE JOHNSON (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 7017972221 |
| Is Organization Subpart | Y |
| Parent Organization Name | COOPERSTOWN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
5010P | ND | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA | 87726 | 01 | |
| PREFERED ONE | 01009717 | 01 | |
| ND | 1009 | 05 | |
| ND | BLUE CROSS BLUE SHIELD | 489 | 01 |
| Other Name | Type Code |
|---|---|
| Cooperstown Medical Center Critical Access Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134304231 | Cooperstown Medical Center | Durable Medical Equipment & Medical Supplies | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2008-01-08 |
| 1962548214 | Cooperstown Medical Center | Clinic/Center | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2007-01-30 |
| 1376635151 | Cooperstown Medical Center | Medicare Defined Swing Bed Unit | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-09-29 |
| 1285726067 | Cooperstown Medical Center | Skilled Nursing Facility | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-09-29 |
| 1548378474 | Cooperstown Medical Center | General Acute Care Hospital | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-08-29 |
| Street Address |
1200 ROBERTS AVE NE |
| City | COOPERSTOWN |
| State | ND |
| Zip Code | 58425-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393144 | Brian Twete | Nurse Practitioner | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2005-06-01 |
| 1144500596 | Griggs County Nursing Home | Skilled Nursing Facility | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2011-08-17 |
| 1053645317 | Brooke Leigh Fredrickson | Dietitian, Registered | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2009-09-18 |
| 1134304231 | Cooperstown Medical Center | Durable Medical Equipment & Medical Supplies | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2008-01-08 |
| 1962548214 | Cooperstown Medical Center | Clinic/Center | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2007-01-30 |
| 1376635151 | Cooperstown Medical Center | Medicare Defined Swing Bed Unit | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-09-29 |
| 1285726067 | Cooperstown Medical Center | Skilled Nursing Facility | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-09-29 |
| 1184716045 | Agassiz Dental Associates, PC | Dentist | 1200 Roberts Ave Ne, Cooperstown, ND 58425 | 2006-09-29 |
| 1770691651 | Norman Leo Berthiaume | Nurse Practitioner | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-08-29 |
| 1548378474 | Cooperstown Medical Center | General Acute Care Hospital | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932310315 | Outlook Chiropractic | Chiropractor | 605 8th St Nw, Cooperstown, ND 58425 | 2007-05-25 |
| 1972923373 | Cia Gronneberg | Social Worker | 912 Burrel Ave Se, Box 567, Cooperstown, ND 58425-0567 | 2014-04-24 |
| 1235559683 | Griggs County | Public Health or Welfare | 912 Burrel Ave Se, Cooperstown, ND 58425-0567 | 2014-04-24 |
| 1912099870 | Arlo D Neumiller | Dentist | 1200 Roberts Av Ne, Cooperstown, ND 58425-0569 | 2006-09-29 |
| 1821210154 | Leon Donald Paczkowski | Pharmacist | 848 Burrell Ave., Cooperstown, ND 58425-0627 | 2007-05-03 |
| 1558379248 | Pharmacists Associates LLC | Pharmacy | 901 Burrell Ave Se, Cooperstown, ND 58425-0627 | 2006-08-04 |
| 1982814497 | City of Cooperstown | Ambulance | 611 9th St. Ne, Cooperstown, ND 58425-0712 | 2007-05-23 |
| 1396258745 | Rachel Marie Dahl | Pharmacist | 901 Burrel Ave Sw, Cooperstown, ND 58425-0901 | 2017-11-08 |
| 1710473764 | Larissa Ann Haug | Physician Assistant | 1200 Roberts Avenue Ne, Cooperstown, ND 58425-7101 | 2018-07-02 |
| 1992051221 | Essential Chiropractic Pllc | Chiropractor | 402 4th St Sw, Cooperstown, ND 58425-7541 | 2012-07-24 |
| Find all providers in zip 58425 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396006953 | Niran Kotrapu | General Acute Care Hospital | 1048 N Parkview Dr, Bismarck, ND 58501-2469 | 2012-05-30 |
| 1457477218 | St Aloisius Hospital Inc | General Acute Care Hospital | 325 Brewster St E, Harvey, ND 58341-1653 | 2007-03-22 |
| 1861556102 | Union Hospital Society of Mayvile Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2006-12-21 |
| 1760542500 | Pembina County Memorial Hospital Association | General Acute Care Hospital | 301 Mountain St E, Cavalier, ND 58220 | 2006-12-11 |
| 1184725194 | Sanford Health Network North | General Acute Care Hospital | 12 3rd St Se, Hillsboro, ND 58045-4840 | 2006-09-25 |
| 1518061803 | Sanford Health Network North | General Acute Care Hospital | 42 6th Ave Se, Mayville, ND 58257-1506 | 2006-09-08 |
| 1215942032 | St. Luke's Hospital | General Acute Care Hospital | 702 1st Sw, Crosby, ND 58730-0010 | 2006-07-30 |
| 1154352169 | Towner County Medical Center Inc | General Acute Care Hospital | Highway 281 North, Cando, ND 58324-0688 | 2006-07-06 |
| 1295772804 | Wishek Hospital-clinic Association | General Acute Care Hospital | 1007 4th Ave S, Wishek, ND 58495-7527 | 2006-06-01 |
| 1750328662 | Cavalier County Memorial Hospital Association | General Acute Care Hospital | 909 2nd St, Langdon, ND 58249-2407 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
| City | COOPERSTOWN |
| Zip Code | 58425 |
Please comment or provide details below to improve the information on COOPERSTOWN MEDICAL CENTER.
| 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.