QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY (NPI# 1245754548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245754548 |
| Entity Type | Organization |
| Organization Name | QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY |
| Other Organization Name | QUENTIN N BURDICK COMPREHENSIVE HEALTHCARE FACILITY |
| Practice Address |
1 Hospital Road Belcourt ND 58316-0160 |
| Mailing Address |
Po Box 160 Belcourt ND 58316-0160 |
| Practice Telephone | 7014776111 |
| Practice Fax Number | 7014772500 |
| Mailing Telephone | 7014776111 |
| Mailing Fax Number | 7014772500 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | DELAND J DAVIS (CFO) |
| Authorized Official Telephone | 7014776111 |
| Is Organization Subpart | Y |
| Parent Organization Name | QUENTIN N BURDICK COMPREHENSIVE HEALTHCARE FACILITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | ND | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1465304 | 05 |
| Other Name | Type Code |
|---|---|
| QUENTIN N BURDICK COMPREHENSIVE HEALTHCARE FACILITY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942674767 | Quentin N Burdick Comprehensive Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-11-17 |
| 1588038301 | Quentin N Burdick Comprehensive Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-11-17 |
| 1336529015 | Quentin N Burdick Comprehensive Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-06-08 |
| 1205216991 | Quentin N Burdick Comprehensive Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-06-08 |
| 1154701852 | Quentin N Burdick Comprehensive Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-06-08 |
| 1700266574 | Quentin N Burdick Comprehensive Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-06-05 |
| 1528448396 | Quentin N Burdick Comprehensive Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-06-05 |
| 1538549308 | Quentin N Burdick Comprehensive Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-06-05 |
| 1972982593 | Quentin N Burdick Comprehensive Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316 | 2015-05-28 |
| 1699154211 | Quentin N Burdick Comprehensive Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-05-28 |
| Street Address |
1 HOSPITAL ROAD |
| City | BELCOURT |
| State | ND |
| Zip Code | 58316-0160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902230600 | Kenneth M Knutson | Pharmacist | 1 Hospital Road, Belcourt, ND 58316 | 2013-08-29 |
| 1316268212 | Elaine K Richter | Pharmacist | 1 Hospital Road, Belcourt, ND 58316 | 2010-06-15 |
| 1043467301 | Kimberly A Hiatt | Respiratory Therapist, Certified | 1 Hospital Road, Belcourt, ND 58316-0160 | 2008-08-19 |
| 1134382278 | Judith Rosario-rayburn | Nurse Practitioner | 1 Hospital Road, Belcourt, ND 58316-0160 | 2008-07-09 |
| 1073708426 | Joseph Wayne Collins | Dentist | 1 Hospital Road, Belcourt, ND 58316-0160 | 2007-09-10 |
| 1164642377 | Sandra M Poitra | Dietitian, Registered | 1 Hospital Road, Belcourt, ND 58316 | 2007-04-27 |
| 1063632792 | Jody Marie Rosendahl | Dietitian, Registered | 1 Hospital Road, Belcourt, ND 58316 | 2007-04-26 |
| 1619008919 | Burton Clarence Norris | Dentist | 1 Hospital Road, Belcourt, ND 58316 | 2007-03-08 |
| 1093844383 | Emmanuel A Gaid | Family Medicine | 1 Hospital Road, Belcourt, ND 58316-0160 | 2007-03-05 |
| 1689727018 | Marma Wilkie-pepion | Social Worker | 1 Hospital Road, Belcourt, ND 58316-0160 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012656 | Ryan Wickerham | Technician | 9862 46th Ave Ne 1191 Kent Addition, 1191, Belcourt, ND 58316 | 2020-10-31 |
| 1396345146 | Melinda Marie Desjarlais | Technician | 9826 46th Ave Ne, Belcourt, ND 58316 | 2020-10-30 |
| 1417591140 | Molly Sue Beyer | Nurse Practitioner | 1300 Hospital Loop Road, Belcourt, ND 58316 | 2019-11-06 |
| 1114430519 | John Robert Kerr | Dentist | Quentin N. Burdick Memorial Hospital 1300 Hospital Loop, Belcourt, ND 58316 | 2017-11-08 |
| 1174979694 | Jan Birkland | Case Manager/Care Coordinator | 4051 Highway 281, Belcourt, ND 58316 | 2016-05-13 |
| 1841644291 | Berry James Poitra | Pharmacist | Moonlight Drive Highway 5, Belcourt, ND 58316 | 2016-04-21 |
| 1114380748 | Bernice Delorme | Social Worker | Bldg 152, John Norquay Street, Belcourt, ND 58316 | 2016-03-31 |
| 1326425943 | Turtle Mountain Band of Chippewa | Private Vehicle | 1023 Chief Little Shell Street Ne, Belcourt, ND 58316 | 2015-05-04 |
| 1336535038 | Turlte Mountain Maternal Child Health Program | Case Management | Building 150 John Norquay Street, Belcourt, ND 58316 | 2015-04-09 |
| 1982006672 | Eugene Monette | Physical Therapist | 4278 Bia Road 8, Belcourt, ND 58316 | 2014-09-24 |
| Find all providers in zip 58316 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841644291 | Berry James Poitra | Pharmacist | Moonlight Drive Highway 5, Belcourt, ND 58316 | 2016-04-21 |
| 1023439346 | Mary Dodd | Pharmacist | 1300 Hospital Loop 1 Main Street, Belcourt, ND 58316 | 2014-01-06 |
| 1225243918 | Doreen Beth Jensen | Pharmacist | Highway 5, Belcourt, ND 58316 | 2007-05-14 |
| 1366074379 | Rachel Marie Modrow | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2020-02-07 |
| 1689229346 | Abby Wilder | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2019-08-08 |
| 1871074492 | Andrew Kenneth Glatz | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-08-22 |
| 1891293965 | My-oanh Thi Nguyen | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2018-01-24 |
| 1548778798 | Lauren M Hatfield | Pharmacist | Po Box 160, Belcourt, ND 58316-0160 | 2018-01-22 |
| 1427405513 | Jonathan Owen | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316 | 2016-05-18 |
| 1114399185 | Douglas David Edwards | Pharmacist | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2015-10-29 |
| Find all providers in BELCOURT | ||||
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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.