ASHLEY MEDICAL CENTER (NPI# 1659333425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659333425 |
| Entity Type | Organization |
| Organization Name | ASHLEY MEDICAL CENTER |
| Other Organization Name | AMC KULM CLINIC |
| Practice Address |
4 1st Ave Se Kulm ND 58456-7221 |
| Mailing Address |
612 Center Ave N Po Box 450 Ashley ND 58413-7013 |
| Practice Telephone | 7016472722 |
| Practice Fax Number | 7016472722 |
| Mailing Telephone | 7012883433 |
| Mailing Fax Number | 7012883937 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2008-07-24 |
| Authorized Official Name | KATHLEEN HOEFT (CEO) |
| Authorized Official Telephone | 7012883433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | AMC KULM CLINIC | 125002 | 01 |
| ND | 016578 | 05 |
| Other Name | Type Code |
|---|---|
| AMC Kulm Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295777951 | Ashley Medical Center | Clinic/Center | 510 S Main, Zeeland, ND 58581-4014 | 2006-06-10 |
| 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 |
| 1619061454 | Ashley Medical Center | Durable Medical Equipment & Medical Supplies | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-10-03 |
| 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 |
4 1ST AVE SE |
| City | KULM |
| State | ND |
| Zip Code | 58456-7221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932300951 | Wishek Hospital-clinic Association | Clinic/Center | 4 1st Ave Se, Kulm, ND 58456 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891850954 | Kulm Ambulance Corps Inc | Ambulance | 10 1st St Sw, Kulm, ND 58456-7113 | 2006-12-27 |
| 1235737396 | Mary Jo Kinzler | Technician | 207 2nd Ave Se, Kulm, ND 58456-7201 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737396 | Mary Jo Kinzler | Technician | 207 2nd Ave Se, Kulm, ND 58456-7201 | 2020-10-12 |
| 1932300951 | Wishek Hospital-clinic Association | Clinic/Center | 4 1st Ave Se, Kulm, ND 58456 | 2007-05-29 |
| 1891850954 | Kulm Ambulance Corps Inc | Ambulance | 10 1st St Sw, Kulm, ND 58456-7113 | 2006-12-27 |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1003399064 | Ideal Option, Pllc | Clinic/Center | 44 24th St E, Dickinson, ND 58601-6576 | 2018-09-14 |
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| 1376020396 | Ideal Option, Pllc | Clinic/Center | 3520 N Broadway, Minot, ND 58703-0513 | 2018-07-23 |
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| 1720588171 | Ideal Option, Pllc | Clinic/Center | 3301 30th Ave S Ste 102, Grand Forks, ND 58201-6009 | 2018-02-12 |
| 1093172827 | Terry N Braun Counseling LLC | Clinic/Center | 1042 14th Ave E Ste 210, West Fargo, ND 58078-3363 | 2016-01-25 |
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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.