COOPERSTOWN MEDICAL CENTER (NPI# 1376635151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376635151 |
| Entity Type | Organization |
| Organization Name | COOPERSTOWN MEDICAL CENTER |
| Other Organization Name | COOPERSTOWN MEDICAL CENTER SWING BED |
| Practice Address |
1200 Roberts Ave Ne Cooperstown ND 58425-7101 |
| Practice Telephone | 7017972221 |
| Mailing Telephone | 7017972221 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | GREGORY STOMP (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 7017972221 |
| Authorized Official Credential | RN, LNHA |
| Is Organization Subpart | Y |
| Parent Organization Name | COOPERSTOWN MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 5001P | ND | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS BLUE SHIELD | 2774 | 01 |
| ND | 1912 | 05 |
| Other Name | Type Code |
|---|---|
| Cooperstown Medical Center Swing Bed | 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 |
| 1285726067 | Cooperstown Medical Center | Skilled Nursing Facility | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-09-29 |
| 1235239229 | Cooperstown Medical Center | General Acute Care Hospital | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-09-22 |
| 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 |
| 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 |
| 1235239229 | Cooperstown Medical Center | General Acute Care Hospital | 1200 Roberts Ave Ne, Cooperstown, ND 58425-7101 | 2006-09-22 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518068949 | Southwest Healthcare Services | Medicare Defined Swing Bed Unit | 14 6th Ave Sw, Bowman, ND 58623-0009 | 2006-09-26 |
| 1003913518 | Northwood Deaconess Health Center | Medicare Defined Swing Bed Unit | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-19 |
| 1609972884 | Mercy Hospital of Devils Lake | Medicare Defined Swing Bed Unit | 1031 7th Street Ne, Devils Lake, ND 58301-2798 | 2006-09-15 |
| 1427079854 | Mckenzie County Healthcare Systems Inc | Medicare Defined Swing Bed Unit | 516 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1861462442 | Garrison Memorial Hospital | Medicare Defined Swing Bed Unit | 407 3rd Ave Se, Garrison, ND 58540-7235 | 2006-01-25 |
| 1487889614 | St Joseph's Hospital and Health Center | Medicare Defined Swing Bed Unit | 2500 Fairway St, Dickinson, ND 58601 | 2009-05-18 |
| 1063634210 | Pembina County Memorial Hospital Association | Medicare Defined Swing Bed Unit | 301 Mountain St E, Cavalier, ND 58220-0380 | 2007-05-03 |
| 1639296007 | St Aloisius Hospital Inc | Medicare Defined Swing Bed Unit | 325 Brewster St E, Harvey, ND 58341-1653 | 2007-03-23 |
| 1619033917 | Presentation Medical Center | Medicare Defined Swing Bed Unit | 213 2nd Ave Ne, Rolla, ND 58367-0759 | 2006-12-29 |
| 1689735235 | Nelson County Health System | Medicare Defined Swing Bed Unit | 200 North Main Street, Mcville, ND 58254-0367 | 2006-12-13 |
| 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.