SANFORD BISMARCK (NPI# 1528144623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528144623 |
| Entity Type | Organization |
| Organization Name | SANFORD BISMARCK |
| Other Organization Name | SANFORD MEDICAL CENTER |
| Practice Address |
300 N 7th St Bismarck ND 58506-5525 |
| Mailing Address |
Po Box 5074 Sioux Falls SD 57117-5074 |
| Practice Telephone | 7013236000 |
| Practice Fax Number | 7013235221 |
| Mailing Telephone | 6053286585 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Telephone | 6053288380 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 5003A | ND | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS PSYCH UNIT | 3988 | 01 |
| ND | 02008 | 05 |
| Other Name | Type Code |
|---|---|
| Sanford Medical Center | Doing Business As Name - Organization |
| Sanford Medical Center Psych | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790197671 | Sanford Bismarck | Clinic/Center | 2603 E Broadway Ave, Bismarck, ND 58501-5107 | 2014-05-27 |
| 1598185597 | Sanford Bismarck | Clinic/Center | 2615 Fairway Street, Dickinson, ND 58601 | 2014-04-17 |
| 1942626395 | Sanford Bismarck | Social Worker | 200 E Main Ave Ste 301, Bismarck, ND 58501-3857 | 2014-03-10 |
| 1669524351 | Sanford Bismarck | Clinic/Center | 2603 E Broadway Avenue, Bismarck, ND 58501 | 2007-01-16 |
| 1396828547 | Sanford Bismarck | Clinic/Center | #10 N River Rd, Fort Yates, ND 58538 | 2006-10-23 |
| 1558968560 | Sanford Bismarck | Pharmacy | 300 N 7th St, Bismarck, ND 58501-4439 | 2020-10-02 |
| 1679937155 | Sanford Bismarck | Pharmacy | 300 N 7th St, Bismarck, ND 58501-4439 | 2016-04-11 |
| 1154485944 | Sanford Bismarck | Clinical Medical Laboratory | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-12-19 |
| 1477631745 | Sanford Bismarck | Hospice Care, Community Based | 910 18th St Nw, Mandan, ND 58554-1612 | 2006-11-02 |
| 1700962818 | Sanford Bismarck | Clinic/Center | 209 N 7th St, Bismarck, ND 58501-4441 | 2006-10-31 |
| Street Address |
300 N 7TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58506-5525 |
| 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 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851357131 | Martin Roberts | Internal Medicine | 900 East Broadway, St Alexius Health, Bismarck, ND 58506 | 2006-04-25 |
| 1477071025 | Meagan Lee Carfield | Speech-Language Pathologist | 5401 South St, Lincoln, NE 58506 | 2017-09-05 |
| 1629084157 | Angela K Orn | Pharmacist | 900 E Broadway Ave, Bismarck, ND 58506 | 2006-08-01 |
| 1316259294 | Carrie Gerving | Nurse Practitioner | 222 North 7th Street, Bismarck, ND 58506-5505 | 2010-07-08 |
| 1649481656 | Myron Jacob Cullen | Specialist/Technologist | 310 Nth 9th Street, Bismarck, ND 58506-5510 | 2007-05-24 |
| 1962536722 | Gregory R Jund | Occupational Therapist | 310 N 9th Street, Bismarck, ND 58506-5510 | 2007-03-15 |
| 1457363426 | Dawn Gronneberg | Pharmacist | 900 East Broadway Ave, Bismarck, ND 58506-5510 | 2006-08-11 |
| 1447500566 | St. Alexius Medical Center Pharmacy | Pharmacy | 900 E Broadway Ave, Bismarck, ND 58506-5510 | 2012-09-17 |
| 1649329632 | North Dakota Docr Pharmacy | Pharmacist | 3100 Railroad Avenue, Bismarck, ND 58506-5521 | 2007-01-09 |
| 1144264854 | Thomas Frank Simmer | Pharmacist | Medcenter One Pharmacy, 300 N 7th St Box 5525, Bismarck, ND 58506-5525 | 2006-06-15 |
| Find all providers in zip 58506 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538220611 | St. Alexius Medical Center | Psychiatric Unit | 900 E. Broadway Ave, Bismarck, ND 58501-4520 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417079211 | Trinity Hospitals | Psychiatric Unit | 407 3rd St Se, Minot, ND 58701 | 2007-04-04 |
| 1144381328 | Sanford Medical Center Fargo | Psychiatric Unit | 801 Broadway N, Fargo, ND 58102-3641 | 2006-12-12 |
| 1528157039 | Altru Health System | Psychiatric Unit | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-10-12 |
| 1316039514 | Mercy Medical Center | Psychiatric Unit | 1301 15th Ave W, Williston, ND 58801-3821 | 2006-09-28 |
| 1487672721 | St. Joseph's Hospital and Health Center | Psychiatric Unit | 30 7th St W, Dickinson, ND 58601-4335 | 2006-07-17 |
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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.