ASHLEY MEDICAL CENTER (NPI# 1285738401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285738401 |
| Entity Type | Organization |
| Organization Name | ASHLEY MEDICAL CENTER |
| Other Organization Name | ASHLEY MEDICAL CENTER HOME HEALTH |
| Practice Address |
612 Center Ave N Ashley ND 58413-7013 |
| Mailing Address |
Po Box 450 612 Center Ave No Ashley ND 58413-0450 |
| Practice Telephone | 7012883433 |
| Practice Fax Number | 7012883938 |
| Mailing Telephone | 7012883433 |
| Mailing Fax Number | 7012883938 |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2012-07-12 |
| Authorized Official Name | MR. JERRY LEE LEPP (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 7012883433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 4001A | ND | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 54852 | 05 | |
| ND | HOME HEALTH | 737 | 01 |
| Other Name | Type Code |
|---|---|
| Ashley Medical Center Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295777951 | Ashley Medical Center | Clinic/Center | 510 S Main, Zeeland, ND 58581-4014 | 2006-06-10 |
| 1659333425 | Ashley Medical Center | Clinic/Center | 4 1st Ave Se, Kulm, ND 58456-7221 | 2006-04-05 |
| 1740286616 | Ashley Medical Center | General Acute Care Hospital | 612 Center Ave N, Ashley, ND 58413-7013 | 2005-06-24 |
| 1942465364 | Ashley Medical Center | Clinic/Center | 612 Center Ave N, Ashley, ND 58413-7013 | 2008-07-24 |
| 1619061454 | Ashley Medical Center | Durable Medical Equipment & Medical Supplies | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-10-03 |
| 1780784108 | Ashley Medical Center | Hospice Care, Community Based | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-25 |
| 1649374042 | Ashley Medical Center | Medicare Defined Swing Bed Unit | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-08 |
| 1841304342 | Ashley Medical Center | Skilled Nursing Facility | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-08-19 |
| 1851335830 | Ashley Medical Center | Clinic/Center | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ASHLEY MEDICAL CENTER | 612 Center Ave N, Ashley, ND 58413-7013 |
| Street Address |
612 CENTER AVE N |
| City | ASHLEY |
| State | ND |
| Zip Code | 58413-7013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740286616 | Ashley Medical Center | General Acute Care Hospital | 612 Center Ave N, Ashley, ND 58413-7013 | 2005-06-24 |
| 1083182174 | Cori Lynn Randall | Nurse Practitioner | 612 Center Ave N, Ashley, ND 58413-7013 | 2018-11-06 |
| 1548712516 | Jeremy St. Aubin | Physical Therapist | 612 Center Ave N, Ashley, ND 58413-7013 | 2016-10-26 |
| 1578962130 | Tara Brandner | Nurse Practitioner | 612 Center Ave N, Ashley, ND 58413-7013 | 2014-08-20 |
| 1942465364 | Ashley Medical Center | Clinic/Center | 612 Center Ave N, Ashley, ND 58413-7013 | 2008-07-24 |
| 1619061454 | Ashley Medical Center | Durable Medical Equipment & Medical Supplies | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-10-03 |
| 1780784108 | Ashley Medical Center | Hospice Care, Community Based | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-25 |
| 1508963950 | Udom Tinsatul | Surgery | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-20 |
| 1649374042 | Ashley Medical Center | Medicare Defined Swing Bed Unit | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-08 |
| 1235244542 | Nina Klein | Family Medicine | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851782114 | Mcintosh County Social Services | Case Manager/Care Coordinator | 112 1st St Ne, Ashley, ND 58413 | 2015-02-09 |
| 1538262654 | Ashley Drug | Pharmacy | 109 W Main St, Ashley, ND 58413 | 2006-09-06 |
| 1841689437 | Brooke Kosiak | Case Manager/Care Coordinator | 112 1st St Ne, Ashley, ND 58413-0218 | 2015-01-20 |
| 1053475020 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 109 W Main St, Ashley, ND 58413-7003 | 2006-12-21 |
| 1770594459 | Mcintosh County District Health Unit | Public Health or Welfare | 511 3rd Ave Nw, Ashley, ND 58413-7131 | 2006-08-10 |
| 1811500226 | Dan Lee Beach | Nurse Practitioner | 314 3rd Ave Ne, Ashley, ND 58413-7225 | 2020-08-25 |
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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|---|---|---|---|---|
| 1821266115 | Lending Hands Caring Hearts Inc | Home Health | 114 N Grove St, Ashley, OH 43003 | 2008-02-20 |
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| 1487255931 | Happy and Smile LLC | Home Health | 721 Memorial Hwy Ste 4, Bismarck, ND 58504-5398 | 2020-11-02 |
| 1053911669 | Kylee Danks | Home Health | 616 Campbell Dr, Grand Forks, ND 58201-7342 | 2020-11-01 |
| 1598365264 | Natasha Compeau | Home Health | 1115 26th Ave S Apt 20, Grand Forks, ND 58201-7074 | 2020-10-30 |
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| 1598363418 | Divine Home Care LLC | Home Health | 1544 E Gateway Cir S Apt 206, Fargo, ND 58103-3643 | 2020-10-13 |
| 1912524273 | Jonta Delisa Tidwell | Home Health | 3026 18th St S, Fargo, ND 58103-6716 | 2020-07-01 |
| 1144844903 | All Embracing Home Care, LLC | Home Health | 643 14th St Ne, Thompson, ND 58278-4310 | 2020-06-07 |
| 1043866015 | Dakota Premier Home Care | Home Health | 2108 Eastbay Dr Se, Mandan, ND 58554-6271 | 2019-08-14 |
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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.