P R HEALTH CORPORATION (NPI# 1669568747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669568747 |
| Entity Type | Organization |
| Organization Name | P R HEALTH CORPORATION |
| Other Organization Name | FIRST CARE SWING BED |
| Practice Address |
115 Vivian St. Park River ND 58270-4540 |
| Mailing Address |
P O Box I 115 Vivian St. Park River ND 58270-0708 |
| Practice Telephone | 7012847500 |
| Practice Fax Number | 7012844605 |
| Mailing Telephone | 7012847500 |
| Mailing Fax Number | 7012844605 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LOUISE DRYBURGH (CEO) |
| Authorized Official Telephone | 7012847500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 001914 | 05 |
| Other Name | Type Code |
|---|---|
| First Care Swing Bed | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306850706 | P R Health Corporation | Clinic/Center | 115 Vivian St., Park River, ND 58270-4540 | 2006-07-28 |
| 1508182684 | P R Health Corporation | Non-Pharmacy Dispensing Site | 115 Vivian St W, Park River, ND 58270-4540 | 2010-04-14 |
| 1679669741 | P R Health Corporation | General Acute Care Hospital | 115 Vivian St., Park River, ND 58270-4540 | 2006-10-05 |
| Street Address |
115 VIVIAN ST. |
| City | PARK RIVER |
| State | ND |
| Zip Code | 58270-4540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306850706 | P R Health Corporation | Clinic/Center | 115 Vivian St., Park River, ND 58270-4540 | 2006-07-28 |
| 1508426735 | Allie Beneda | Physical Therapy Assistant | 115 Vivian St., Park River, ND 58270 | 2019-06-19 |
| 1528138542 | Joel J Johnson | Family Medicine | 115 Vivian St., Park River, ND 58270-4540 | 2006-11-08 |
| 1679669741 | P R Health Corporation | General Acute Care Hospital | 115 Vivian St., Park River, ND 58270-4540 | 2006-10-05 |
| 1891888582 | Tamara J Clemetson | Physician Assistant | 115 Vivian St., Park River, ND 58270-4540 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740769595 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 301 S Highway 12b, Park River, ND 58270 | 2018-08-13 |
| 1104317189 | Paul Benedict Dusek | Dentist | 321 Briggs Ave S Ste 3, Park River, ND 58270 | 2018-05-24 |
| 1669880845 | Lifetime Dental, PC | Clinic/Center | 321 Briggs Ave S, Suite 3, Park River, ND 58270 | 2014-07-31 |
| 1063850436 | Achieve Therapy LLC | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2013-06-07 |
| 1740473800 | Riverview Healthcare Association | Clinic/Center | 115 Vivian St, Park River, ND 58270 | 2007-08-22 |
| 1285847269 | Brian James Larson | Dentist | 418 Briggs Ave S, Park River, ND 58270 | 2007-05-07 |
| 1033137070 | Roberta L Ekman | Dentist | 321 Briggs Ave, Park River, ND 58270 | 2006-07-17 |
| 1679128664 | Lyndsi E Klundt | Physical Therapist | 102 4th St W, Park River, ND 58270 | 2019-08-06 |
| 1770795767 | Laurelyn Joann Larson | Pharmacist | Highway 17, Park River, ND 58270 | 2007-05-04 |
| 1861582884 | Park River Volunteer Ambulance | Ambulance | 115 Vivian Street, Park River, ND 58270-0106 | 2006-10-13 |
| Find all providers in zip 58270 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518068949 | Southwest Healthcare Services | Medicare Defined Swing Bed Unit | 14 6th Ave Sw, Bowman, ND 58623-0009 | 2006-09-26 |
| 1003913518 | Northwood Deaconess Health Center | Medicare Defined Swing Bed Unit | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-19 |
| 1609972884 | Mercy Hospital of Devils Lake | Medicare Defined Swing Bed Unit | 1031 7th Street Ne, Devils Lake, ND 58301-2798 | 2006-09-15 |
| 1427079854 | Mckenzie County Healthcare Systems Inc | Medicare Defined Swing Bed Unit | 516 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1861462442 | Garrison Memorial Hospital | Medicare Defined Swing Bed Unit | 407 3rd Ave Se, Garrison, ND 58540-7235 | 2006-01-25 |
| 1487889614 | St Joseph's Hospital and Health Center | Medicare Defined Swing Bed Unit | 2500 Fairway St, Dickinson, ND 58601 | 2009-05-18 |
| 1063634210 | Pembina County Memorial Hospital Association | Medicare Defined Swing Bed Unit | 301 Mountain St E, Cavalier, ND 58220-0380 | 2007-05-03 |
| 1639296007 | St Aloisius Hospital Inc | Medicare Defined Swing Bed Unit | 325 Brewster St E, Harvey, ND 58341-1653 | 2007-03-23 |
| 1619033917 | Presentation Medical Center | Medicare Defined Swing Bed Unit | 213 2nd Ave Ne, Rolla, ND 58367-0759 | 2006-12-29 |
| 1689735235 | Nelson County Health System | Medicare Defined Swing Bed Unit | 200 North Main Street, Mcville, ND 58254-0367 | 2006-12-13 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIVER |
| Zip Code | 58270 |
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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.