PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION (NPI# 1417093949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417093949 |
Entity Type | Organization |
Organization Name | PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION |
Other Organization Name | CLINICARE |
Practice Address |
301 Mountain St E Cavalier ND 58220-4015 |
Mailing Address |
Po Box 380 Cavalier ND 58220-0380 |
Practice Telephone | 7012656307 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2008-06-18 |
Authorized Official Name | EVERETT BUTLER (CEO) |
Authorized Official Telephone | 7012656281 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Clinicare | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356487565 | Pembina County Memorial Hospital Association | Skilled Nursing Facility | 804 Main St W, Cavalier, ND 58220-4646 | 2007-01-29 |
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 |
Street Address |
301 MOUNTAIN ST E |
City | CAVALIER |
State | ND |
Zip Code | 58220-4015 |
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 |
1205366788 | Kimberly Ford | Nurse Practitioner | 301 Mountain St E, Cavalier, ND 58220-4015 | 2017-06-15 |
1316311582 | Kaci Sharp | Dietitian, Registered | 301 Mountain St E, Cavalier, ND 58220-4015 | 2015-11-25 |
1346649829 | Laura Dawn Ermer | Physician Assistant | 301 Mountain St E, Cavalier, ND 58220-4015 | 2014-08-20 |
1205244944 | Pembina County Memorial Hospital Association | Physician Assistant | 301 Mountain St E, Cavalier, ND 58220-4015 | 2014-07-25 |
1558619692 | Alyssa Marie Rollness | Physical Therapist | 301 Mountain St E, Cavalier, ND 58220-4015 | 2012-08-21 |
1063634210 | Pembina County Memorial Hospital Association | Medicare Defined Swing Bed Unit | 301 Mountain St E, Cavalier, ND 58220-0380 | 2007-05-03 |
1205962909 | Cavalier Ambulance Service, Inc | Ambulance | 301 Mountain St E, Cavalier, ND 58220-4015 | 2007-02-26 |
1184760274 | Kulvinder Sumra | Family Medicine | 301 Mountain St E, Cavalier, ND 58220-4015 | 2007-01-29 |
1104962299 | Renee Lee | Physician Assistant | 301 Mountain St E, Cavalier, ND 58220-4015 | 2007-01-29 |
Find all providers in the same location |
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 |
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 |
1881785244 | Eric J Larson | Internal Medicine | 201 East 3rd Avenue South, Cavalier, ND 58220 | 2006-09-28 |
Find all providers in zip 58220 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
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1700064599 | Rolla Eye Clinic | Clinic/Center | 118 3rd St. Ne, Rolla, ND 58367-1170 | 2008-02-05 |
1891859948 | Nelson County Health System | Clinic/Center | 117 2nd St West, Lakota, ND 58344 | 2006-12-21 |
1760570394 | West River Health Services | Clinic/Center | 211 Main Street, Scranton, ND 58653 | 2006-10-10 |
1942398508 | West River Health Services | Clinic/Center | 420 Pacific Ave, Mott, ND 58646 | 2006-10-10 |
1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
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.