NORTHWOOD DEACONESS HEALTH CENTER (NPI# 1356449136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356449136 |
Entity Type | Organization |
Organization Name | NORTHWOOD DEACONESS HEALTH CENTER |
Practice Address |
4 North Park St Northwood ND 58267-0190 |
Mailing Address |
Po Box 190 Northwood ND 58267-0190 |
Practice Telephone | 7015876060 |
Practice Fax Number | 7015876492 |
Mailing Telephone | 7015876060 |
Mailing Fax Number | 7015876492 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2011-11-04 |
Authorized Official Name | MR. PETE ANTONSON (ADMINISTRATOR) |
Authorized Official Telephone | 7015876060 |
Authorized Official Credential | CEO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 291U00000X | Clinical Medical Laboratory | 35D0684526 | ND | Laboratories |
N | 341600000X | Ambulance | Transportation Services | ||
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
5040P | ND | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | D01045 | 05 | |
ND | 11827 | 05 | |
MN | 623348100 | 05 | |
ND | BCBS | 0174 | 01 |
MEDICARE PART B | 1000064 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023550118 | Northwood Deaconess Health Center | Clinic/Center | 308 Whinery Street, Binford, ND 58416 | 2016-11-07 |
1689085797 | Northwood Deaconess Health Center | Clinic/Center | 611 Towner Ave, Larimore, ND 58251 | 2014-05-12 |
1003913518 | Northwood Deaconess Health Center | Medicare Defined Swing Bed Unit | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-19 |
1063401867 | Northwood Deaconess Health Center | Skilled Nursing Facility | 4 N Park St, Northwood, ND 58267-4102 | 2005-10-14 |
1346848330 | Northwood Deaconess Health Center | In Home Supportive Care | 4 N Park St, Northwood, ND 58267-4102 | 2020-10-13 |
1477964674 | Northwood Deaconess Health Center | Clinic/Center | 4 N Park St, Northwood, ND 58267-4102 | 2014-05-12 |
1225457864 | Northwood Deaconess Health Center | Durable Medical Equipment & Medical Supplies | 4 N Park St, Northwood, ND 58267-4102 | 2014-04-10 |
1184722969 | Northwood Deaconess Health Center | Skilled Nursing Facility | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | NORTHWOOD DEACONESS HEALTH CENTER | 4 N Park St, Northwood, ND 58267-4102 |
Street Address |
4 NORTH PARK ST |
City | NORTHWOOD |
State | ND |
Zip Code | 58267-0190 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003913518 | Northwood Deaconess Health Center | Medicare Defined Swing Bed Unit | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-19 |
1184722969 | Northwood Deaconess Health Center | Skilled Nursing Facility | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-20 |
1548886591 | Pharmacists Associates LLC | Pharmacy | 10 North Main Street, Northwood, ND 58267-0399 | 2020-06-24 |
1063690774 | Pharmacists Associates LLC | Pharmacy | 10 N Main Street, Northwood, ND 58267-0399 | 2008-02-05 |
1699954545 | Northwood Chiropractic PC | Chiropractor | 12 N Park St, Northwood, ND 58267-0442 | 2007-10-29 |
1780877787 | Erik J Thorsgard | Chiropractor | 12 N Park St, Northwood, ND 58267-0442 | 2007-08-22 |
1639595747 | Betty Ellingson | Speech-Language Pathologist | 208 N Berg St, Box 24, Northwood, ND 58267-4016 | 2014-03-13 |
1063401867 | Northwood Deaconess Health Center | Skilled Nursing Facility | 4 N Park St, Northwood, ND 58267-4102 | 2005-10-14 |
1346848330 | Northwood Deaconess Health Center | In Home Supportive Care | 4 N Park St, Northwood, ND 58267-4102 | 2020-10-13 |
1487192720 | Chelsea De Bruto | Occupational Therapist | 4 N Park St, Northwood, ND 58267-4102 | 2017-02-07 |
Find all providers in zip 58267 |
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 |
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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.