ASHLEY MEDICAL CENTER (NPI# 1619061454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619061454 |
Entity Type | Organization |
Organization Name | ASHLEY MEDICAL CENTER |
Practice Address |
612 Center Ave N Ashley ND 58413-7013 |
Mailing Address |
Po Box 450 Ashley ND 58413-0450 |
Practice Telephone | 7012883433 |
Mailing Telephone | 7012883433 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2008-09-11 |
Authorized Official Name | JERRY LEE LEPP (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 7012883433 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 50606 | 05 | |
ND | BLUE CROSS BLUE SHIELD | 7244 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295777951 | Ashley Medical Center | Clinic/Center | 510 S Main, Zeeland, ND 58581-4014 | 2006-06-10 |
1659333425 | Ashley Medical Center | Clinic/Center | 4 1st Ave Se, Kulm, ND 58456-7221 | 2006-04-05 |
1740286616 | Ashley Medical Center | General Acute Care Hospital | 612 Center Ave N, Ashley, ND 58413-7013 | 2005-06-24 |
1942465364 | Ashley Medical Center | Clinic/Center | 612 Center Ave N, Ashley, ND 58413-7013 | 2008-07-24 |
1780784108 | Ashley Medical Center | Hospice Care, Community Based | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-25 |
1649374042 | Ashley Medical Center | Medicare Defined Swing Bed Unit | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-08 |
1285738401 | Ashley Medical Center | Home Health | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-08 |
1841304342 | Ashley Medical Center | Skilled Nursing Facility | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-08-19 |
1851335830 | Ashley Medical Center | Clinic/Center | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-06-16 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ASHLEY MEDICAL CENTER | 612 Center Ave N, Ashley, ND 58413-7013 |
Street Address |
612 CENTER AVE N |
City | ASHLEY |
State | ND |
Zip Code | 58413-7013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740286616 | Ashley Medical Center | General Acute Care Hospital | 612 Center Ave N, Ashley, ND 58413-7013 | 2005-06-24 |
1083182174 | Cori Lynn Randall | Nurse Practitioner | 612 Center Ave N, Ashley, ND 58413-7013 | 2018-11-06 |
1548712516 | Jeremy St. Aubin | Physical Therapist | 612 Center Ave N, Ashley, ND 58413-7013 | 2016-10-26 |
1578962130 | Tara Brandner | Nurse Practitioner | 612 Center Ave N, Ashley, ND 58413-7013 | 2014-08-20 |
1942465364 | Ashley Medical Center | Clinic/Center | 612 Center Ave N, Ashley, ND 58413-7013 | 2008-07-24 |
1780784108 | Ashley Medical Center | Hospice Care, Community Based | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-25 |
1508963950 | Udom Tinsatul | Surgery | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-20 |
1649374042 | Ashley Medical Center | Medicare Defined Swing Bed Unit | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-08 |
1285738401 | Ashley Medical Center | Home Health | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-09-08 |
1235244542 | Nina Klein | Family Medicine | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-08-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851782114 | Mcintosh County Social Services | Case Manager/Care Coordinator | 112 1st St Ne, Ashley, ND 58413 | 2015-02-09 |
1538262654 | Ashley Drug | Pharmacy | 109 W Main St, Ashley, ND 58413 | 2006-09-06 |
1841689437 | Brooke Kosiak | Case Manager/Care Coordinator | 112 1st St Ne, Ashley, ND 58413-0218 | 2015-01-20 |
1053475020 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 109 W Main St, Ashley, ND 58413-7003 | 2006-12-21 |
1770594459 | Mcintosh County District Health Unit | Public Health or Welfare | 511 3rd Ave Nw, Ashley, ND 58413-7131 | 2006-08-10 |
1811500226 | Dan Lee Beach | Nurse Practitioner | 314 3rd Ave Ne, Ashley, ND 58413-7225 | 2020-08-25 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053475020 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 109 W Main St, Ashley, ND 58413-7003 | 2006-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679196000 | Scheels All Sports, Inc. | Durable Medical Equipment & Medical Supplies | 1551 45th St S, Fargo, ND 58103-3255 | 2020-05-20 |
1700343639 | Winmar Diagnostics North Central, Inc. | Durable Medical Equipment & Medical Supplies | 2424 32nd Ave S Ste 101a, Grand Forks, ND 58201-6509 | 2019-02-27 |
1568929974 | Midwest Medical Equipment & Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1702 University Dr S Ste Su1021r, Fargo, ND 58103-4940 | 2019-02-22 |
1598220469 | Integumentary Center | Durable Medical Equipment & Medical Supplies | 3120 25th St Sw Ste 348, Fargo, ND 58103-6110 | 2019-02-05 |
1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
1164824611 | Blue Sky Unlimited, LLC | Durable Medical Equipment & Medical Supplies | 4580 Bia Rd 12, Belcourt, ND 58316-1781 | 2014-09-16 |
1093134520 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1336 25th Ave S, Suite 205, Fargo, ND 58103-5200 | 2014-04-14 |
1760808299 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 506 W Villard St, Dickinson, ND 58601-5017 | 2014-03-07 |
1831512961 | Mommy's Maternity | Durable Medical Equipment & Medical Supplies | 3120 25th St S Ste P, Southpointe Mall, Fargo, ND 58103-6110 | 2014-01-24 |
1477997005 | White Drug Co of Jamestown Inc | Durable Medical Equipment & Medical Supplies | 387 11th St S Ofc 2, Wahpeton, ND 58075-4677 | 2013-04-25 |
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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.