HAZEN MEMORIAL HOSPITAL ASSOCIATION (NPI# 1578781324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578781324 |
| Entity Type | Organization |
| Organization Name | HAZEN MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | SAKAKAWEA HOME HEALTH CARE |
| Practice Address |
510 8th Ave Ne Hazen ND 58545-4637 |
| Practice Telephone | 7017487380 |
| Mailing Telephone | 7017487380 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-07-19 |
| Authorized Official Name | MR. DARROLD BERTSCH (CEO) |
| Authorized Official Telephone | 7017487230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 4053A | ND | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 59258 | 05 |
| Other Name | Type Code |
|---|---|
| Sakakawea Home Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174597173 | Hazen Memorial Hospital Association | Clinic/Center | 517 8th Ave Ne, Hazen, ND 58545-4638 | 2006-02-15 |
| 1730306812 | Hazen Memorial Hospital Association | Hospice Care, Community Based | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2007-04-19 |
| 1700965696 | Hazen Memorial Hospital Association | General Acute Care Hospital | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2006-11-03 |
| 1356315220 | Hazen Memorial Hospital Association | Family Medicine | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2006-02-15 |
| Street Address |
510 8TH AVE NE |
| City | HAZEN |
| State | ND |
| Zip Code | 58545-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386125904 | Leah Ann Weltz | Occupational Therapist | 510 8th Ave Ne, Hazen, ND 58545-4600 | 2018-08-22 |
| 1881112886 | Keri J Baumberger | Physician Assistant | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2017-08-30 |
| 1295258507 | Courtney Elizabeth Dean | Nurse Practitioner | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2017-07-18 |
| 1609320803 | Lisa Fletcher | Physical Therapist | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2016-08-05 |
| 1902227283 | Carl Miller | Nurse Anesthetist, Certified Registered | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2014-01-03 |
| 1346541067 | Hannah Mae Hauff | Physician Assistant | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2010-11-11 |
| 1568628303 | Darlene Sandra White | Counselor | 510 8th Ave Ne, Hazen, ND 58545 | 2008-07-31 |
| 1538320932 | Sharold Edwin Oster | Counselor | 510 8th Ave Ne, 5 Sakakawea Medical Center, Hazen, ND 58545 | 2008-06-19 |
| 1174715874 | Dannette Rosella Huber | Physical Therapist | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2007-08-16 |
| 1417149279 | Rodney L Zimmerman | Family Medicine | 510 8th Ave Ne, Hazen, ND 58545-4637 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962746776 | Pfliger Chiropractic Clinic PC | Chiropractor | 706 8th Ave. Ne, Hazen, ND 58545 | 2012-11-16 |
| 1932378007 | Michael Ralph Chase | Pharmacist | 30 Main Rd W, Hazen, ND 58545 | 2008-02-22 |
| 1740402189 | Noell Debra Just | Pharmacist | 30 West Main, Hazen, ND 58545 | 2007-05-03 |
| 1710024807 | Hazen Drug Inc. | Pharmacist | 30 Main Street, Hazen, ND 58545 | 2007-01-30 |
| 1336291822 | Alicia Wolstenholm | Speech-Language Pathologist | 238 1st Ave Ne, Hazen, ND 58545 | 2007-01-17 |
| 1174697759 | Oliver Mercer Special Education Unit | Local Education Agency (LEA) | 507 1st Ave Ne, Hazen, ND 58545 | 2006-11-17 |
| 1225176613 | Jesse J Krieger | Speech-Language Pathologist | 507 1st Ave Ne, Hazen, ND 58545 | 2007-02-01 |
| 1699812602 | Amber Kaylor | Speech-Language Pathologist | 500 Central Ave, Hazen, ND 58545 | 2007-01-31 |
| 1720178916 | Steven P Ziegler | Physical Therapist | 222 7th Street Nw, Hazen, ND 58545-0074 | 2006-10-16 |
| 1568552750 | Ziegler Therapy Services, PC | Physical Therapist | 222 7th Street Nw, Hazen, ND 58545-0074 | 2006-10-16 |
| Find all providers in zip 58545 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356315 | Nizhoni Healthcare Services, LLC | Home Health | 825 25th St S Ste F, Fargo, ND 58103-8724 | 2020-11-06 |
| 1255932794 | Prohealth Home Care, Inc. | Home Health | 702 33rd Ave Sw, Minot, ND 58701-7368 | 2020-11-02 |
| 1487255931 | Happy and Smile LLC | Home Health | 721 Memorial Hwy Ste 4, Bismarck, ND 58504-5398 | 2020-11-02 |
| 1053911669 | Kylee Danks | Home Health | 616 Campbell Dr, Grand Forks, ND 58201-7342 | 2020-11-01 |
| 1598365264 | Natasha Compeau | Home Health | 1115 26th Ave S Apt 20, Grand Forks, ND 58201-7074 | 2020-10-30 |
| 1902406085 | Nodak Angels LLC | Home Health | 7 3rd St Se Ste 101, Minot, ND 58701-3916 | 2020-10-28 |
| 1598363418 | Divine Home Care LLC | Home Health | 1544 E Gateway Cir S Apt 206, Fargo, ND 58103-3643 | 2020-10-13 |
| 1912524273 | Jonta Delisa Tidwell | Home Health | 3026 18th St S, Fargo, ND 58103-6716 | 2020-07-01 |
| 1144844903 | All Embracing Home Care, LLC | Home Health | 643 14th St Ne, Thompson, ND 58278-4310 | 2020-06-07 |
| 1043866015 | Dakota Premier Home Care | Home Health | 2108 Eastbay Dr Se, Mandan, ND 58554-6271 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HAZEN MEMORIAL HOSPITAL ASSOCIATION.
| 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.