MEDCENTER ONE, INC. (NPI# 1497946248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497946248 |
| Entity Type | Organization |
| Organization Name | MEDCENTER ONE, INC. |
| Practice Address |
300 N 7th St Bismarck ND 58501-4439 |
| Practice Telephone | 7013236097 |
| Mailing Telephone | 7013236097 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | JACQUELINE J MRACHEK (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 7013236097 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 1279 | ND | Hospitals |
| Street Address |
300 N 7TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104801760 | Paul G Grooms | Emergency Medicine | 300 N 7th St, Bismarck, ND 58501-4439 | 2005-12-07 |
| 1376141671 | Jaclin Dee Seeberg | Nurse Practitioner | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-10-09 |
| 1558968560 | Sanford Bismarck | Pharmacy | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-10-02 |
| 1194343293 | Sierra Kolle | Dietitian, Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-07-06 |
| 1215554324 | Lisa Michelle Vaca | Nurse Practitioner | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-07-06 |
| 1164042792 | Joseph Mcdonald | Pharmacist | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-04-23 |
| 1245865377 | Matthew John Kopp | Nurse Practitioner | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-03-09 |
| 1437783701 | Danielle Rusch | Dietitian, Registered | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-02-26 |
| 1255965604 | Samantha Mead | Occupational Therapist | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-02-25 |
| 1982238333 | Erika Jean Fagerstrom | Occupational Therapist | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-02-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154497196 | Robert E Hieb | General Acute Care Hospital | 1525 Buccaneer Pl, Bismarck, ND 58504-8982 | 2006-11-28 |
| 1760673511 | Medcenter One | General Acute Care Hospital | 300 N 7th St, Bismarck, ND 58501-4439 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245519081 | Sanford Medical Center Fargo | General Acute Care Hospital | 2990 Seter Parkway, Fargo, ND 58104-8750 | 2011-08-10 |
| 1841407418 | Fort Yates Ihs Hospital | General Acute Care Hospital | N 10 River Road, Fort Yates, ND 58538-0527 | 2007-05-16 |
| 1023139359 | Trinity Hospitals | General Acute Care Hospital | 1310 Hospital Loop Road, Belcourt, ND 58316 | 2007-04-03 |
| 1659813343 | Sarah Klemisch | General Acute Care Hospital | 2101 Elm St N, Fargo, ND 58102-2417 | 2016-11-10 |
| 1003212424 | Quentin N. Burdick Memorial Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2014-11-12 |
| 1760886857 | Sanford Health Organization | General Acute Care Hospital | 2301 25th St S, Fargo, ND 58103-6104 | 2014-10-17 |
| 1588900500 | Veterans Administration Health Care | General Acute Care Hospital | 2101 Elm St N, Fargo, ND 58102-2417 | 2012-12-19 |
| 1508141425 | Doctors Hospital-grand Forks, LLC | General Acute Care Hospital | 1451 44th Ave S, Grand Forks, ND 58201-3434 | 2011-10-12 |
| 1700114907 | Aurora Medical Center, LLC | General Acute Care Hospital | 1451 44th Ave S, Grand Forks, ND 58201-3434 | 2009-11-27 |
| 1932359544 | Trinity Hospitals | General Acute Care Hospital | 407 3rd St Se, Minot, ND 58701 | 2008-09-19 |
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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.