PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION (NPI# 1356487565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356487565 |
| Entity Type | Organization |
| Organization Name | PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | WEDGEWOOD MANOR |
| Practice Address |
804 Main St W Cavalier ND 58220-4646 |
| Mailing Address |
Po Box 380 Cavalier ND 58220-0380 |
| Practice Telephone | 7012658453 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-18 |
| Authorized Official Name | EVERETT A BUTLER (CEO) |
| Authorized Official Telephone | 7012656281 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1011B | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | MEDICAID ID | 05 |
| Other Name | Type Code |
|---|---|
| Wedgewood Manor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760542500 | Pembina County Memorial Hospital Association | General Acute Care Hospital | 301 Mountain St E, Cavalier, ND 58220 | 2006-12-11 |
| 1205244944 | Pembina County Memorial Hospital Association | Physician Assistant | 301 Mountain St E, Cavalier, ND 58220-4015 | 2014-07-25 |
| 1063634210 | Pembina County Memorial Hospital Association | Medicare Defined Swing Bed Unit | 301 Mountain St E, Cavalier, ND 58220-0380 | 2007-05-03 |
| 1417093949 | Pembina County Memorial Hospital Association | Clinic/Center | 301 Mountain St E, Cavalier, ND 58220-4015 | 2007-01-30 |
| Street Address |
804 MAIN ST W |
| City | CAVALIER |
| State | ND |
| Zip Code | 58220-4646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184045908 | April Waters | Local Education Agency (LEA) | 106b Division Ave N, Cavalier, ND 58220 | 2013-12-20 |
| 1447536578 | Stevens Dental Group | Dentist | 202 East 3rd Avenue South, Cavalier, ND 58220 | 2011-11-03 |
| 1871714816 | Susan Schrader | Occupational Therapist | 106b Division Avenue North, Cavalier, ND 58220 | 2007-05-01 |
| 1023238508 | Brenda Sue Brumbaugh | Speech-Language Pathologist | 300 Main St. East, Cavalier, ND 58220 | 2007-04-26 |
| 1508982547 | Chris Houska | Speech-Language Pathologist | 106b Division Ave. N., Cavalier, ND 58220 | 2007-03-21 |
| 1285771303 | Pembina Special Education Cooperative | Physical Therapist | 106b Division Ave., Cavalier, ND 58220 | 2007-01-30 |
| 1689722308 | Rehab Products Inc | Durable Medical Equipment & Medical Supplies | 708 Division Avenue South, Cavalier, ND 58220 | 2007-01-08 |
| 1760542500 | Pembina County Memorial Hospital Association | General Acute Care Hospital | 301 Mountain St E, Cavalier, ND 58220 | 2006-12-11 |
| 1366523482 | Rehab Products, Inc | Durable Medical Equipment & Medical Supplies | 708 Division Street South, Rehab Products Inc, Cavalier, ND 58220 | 2006-10-17 |
| 1265525299 | Judy A Pegg | Physician Assistant | 301 Mountain St E; Ste A, Cavalier, ND 58220 | 2006-10-02 |
| Find all providers in zip 58220 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760033997 | Oluwakemi Isokpan | Skilled Nursing Facility | 1323 Legion Ln W, West Fargo, ND 58078-8523 | 2019-09-29 |
| 1164809562 | Eventide Fargo LLC | Skilled Nursing Facility | 3225 51st St S, Fargo, ND 58104-7180 | 2015-05-05 |
| 1841691789 | Tufte Manor | Skilled Nursing Facility | 3300 Cherry St, Grand Forks, ND 58201-7634 | 2014-09-10 |
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1215256078 | Eventide Jamestown LLC | Skilled Nursing Facility | 1300 2nd Pl Ne, Jamestown, ND 58401-3709 | 2010-05-19 |
| 1427371889 | Benedictine Living Communities-bismarck, Inc. | Skilled Nursing Facility | 4580 Coleman Street, Bismarck, ND 58503-0347 | 2010-03-12 |
| 1508197013 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 301 Lorrain Dr, Bismarck, ND 58503-0311 | 2010-01-22 |
| 1144485608 | Villa Maria | Skilled Nursing Facility | 3102 University Dr S, Fargo, ND 58103-6004 | 2008-07-24 |
| 1477737625 | Pat Sitzer | Skilled Nursing Facility | 751 1st St., Pat Sizer, Minto, ND 58261 | 2007-12-24 |
| 1205041985 | Benedictine Living Center of Garrison | Skilled Nursing Facility | 609 Fourth Ave Ne, Garrison, ND 58540-0219 | 2007-05-14 |
| 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.