VETERANS ADMINISTRATION HEALTH CARE (NPI# 1588900500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588900500 |
| Entity Type | Organization |
| Organization Name | VETERANS ADMINISTRATION HEALTH CARE |
| Practice Address |
2101 Elm St N Fargo ND 58102-2417 |
| Practice Telephone | 7012393700 |
| Practice Fax Number | 7012372649 |
| Mailing Telephone | 7012393700 |
| Mailing Fax Number | 7012372649 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |
| Authorized Official Name | DANELLE SUE SOISETH (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Telephone | 7012393700 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 4286 | ND | Hospitals |
| Street Address |
2101 ELM ST N |
| City | FARGO |
| State | ND |
| Zip Code | 58102-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437143427 | Adam John Glazier | Internal Medicine | 2101 Elm St N, Fargo, ND 58102-2417 | 2005-09-06 |
| 1235740705 | Macy Jane Schindler | Occupational Therapist | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-08-10 |
| 1497363154 | Isaac Nies | Pharmacist | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-07-20 |
| 1376151597 | Paul Afanasi Polanski | Social Worker | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-07-14 |
| 1144848763 | Alexis Kokett | Pharmacist | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-07-09 |
| 1598396459 | Leah Roethel | Dietitian, Registered | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-01-30 |
| 1619508678 | Allison Wanner | Dietitian, Registered | 2101 Elm St N, Fargo, ND 58102-2417 | 2020-01-29 |
| 1720622822 | Nicole Marie Justice | Psychologist | 2101 Elm St N, Fargo, ND 58102-2417 | 2019-10-31 |
| 1750923033 | Samantha J. Tupy | Psychologist | 2101 Elm St N, Fargo, ND 58102-2417 | 2019-10-08 |
| 1639723232 | Madelyn Provost | Pharmacist | 2101 Elm St N, Fargo, ND 58102-2417 | 2019-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1275190779 | Anthony Joseph Duncan | Student in an Organized Health Care Education/Training Program | 1919 Elm Streent North, Fargo, ND 58102 | 2019-05-21 |
| 1003472317 | Sadie Marie Nelson | Nurse Practitioner | Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102 | 2019-05-13 |
| 1124523576 | Christopher Peroutka | Specialist/Technologist | 1300 17th Ave N, Fargo, ND 58102 | 2018-03-28 |
| 1205331873 | Nathan Koens | Specialist/Technologist | 1300 17th Avenue North, Fargo, ND 58102 | 2018-03-27 |
| 1376063370 | Abby Nicole Fredrickson | Student in an Organized Health Care Education/Training Program | 1919 Elm Street North, Fargo, ND 58102 | 2017-06-21 |
| 1780118331 | Stephanie Melquist | Internal Medicine | Internal Medicine Resident Clinic, 801 N Broadway, Fargo, ND 58102 | 2017-04-19 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1770919441 | Courtney Ann Simanski | Speech-Language Pathologist | 415 4th St. N., Fargo, ND 58102 | 2013-09-25 |
| 1821431206 | Lanell Staroba | Pharmacist | 706 D 38th St, Fargo, ND 58102 | 2013-04-16 |
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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 |
|---|---|---|---|---|
| 1245519081 | Sanford Medical Center Fargo | General Acute Care Hospital | 2990 Seter Parkway, Fargo, ND 58104-8750 | 2011-08-10 |
| 1659813343 | Sarah Klemisch | General Acute Care Hospital | 2101 Elm St N, Fargo, ND 58102-2417 | 2016-11-10 |
| 1760886857 | Sanford Health Organization | General Acute Care Hospital | 2301 25th St S, Fargo, ND 58103-6104 | 2014-10-17 |
| 1215125463 | Innovis Health, LLC | General Acute Care Hospital | 3000 32nd Ave S, Fargo, ND 58103 | 2007-10-11 |
| 1023228343 | Paracelsus Healthcare Corp | General Acute Care Hospital | 1720 University Dr S, Fargo, ND 58103-4940 | 2007-05-23 |
| 1528009412 | Sanford Medical Center Fargo | General Acute Care Hospital | 801 Broadway N, Fargo, ND 58122-4520 | 2006-06-09 |
| 1437100971 | Fargo Vamc | General Acute Care Hospital | 2101 Elm St N, Fargo, ND 58102-2417 | 2006-05-12 |
| 1851388961 | Dakota Specialty Institute | General Acute Care Hospital | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1154497196 | Robert E Hieb | General Acute Care Hospital | 1525 Buccaneer Pl, Bismarck, ND 58504-8982 | 2006-11-28 |
| 1003212424 | Quentin N. Burdick Memorial Health Care Facility | General Acute Care Hospital | 1300 Hospital Loop, Belcourt, ND 58316-0160 | 2014-11-12 |
| 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 |
| 1396936142 | Medcenter One | General Acute Care Hospital | 910 18th St Nw, Mandan, ND 58554-1612 | 2007-08-07 |
| 1497946248 | Medcenter One, Inc. | General Acute Care Hospital | 300 N 7th St, Bismarck, ND 58501-4439 | 2007-08-07 |
| 1760673511 | Medcenter One | General Acute Care Hospital | 300 N 7th St, Bismarck, ND 58501-4439 | 2007-08-07 |
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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.