P R HEALTH CORPORATION (NPI# 1679669741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679669741 |
| Entity Type | Organization |
| Organization Name | P R HEALTH CORPORATION |
| Other Organization Name | FIRST CARE HEALTH CENTER |
| 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
5042P | ND | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | D01047 | 05 |
| Other Name | Type Code |
|---|---|
| First Care Health Center | 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 |
| 1669568747 | P R Health Corporation | Medicare Defined Swing Bed Unit | 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 |
| 1669568747 | P R Health Corporation | Medicare Defined Swing Bed Unit | 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396006953 | Niran Kotrapu | General Acute Care Hospital | 1048 N Parkview Dr, Bismarck, ND 58501-2469 | 2012-05-30 |
| 1457477218 | St Aloisius Hospital Inc | General Acute Care Hospital | 325 Brewster St E, Harvey, ND 58341-1653 | 2007-03-22 |
| 1861556102 | Union Hospital Society of Mayvile Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2006-12-21 |
| 1760542500 | Pembina County Memorial Hospital Association | General Acute Care Hospital | 301 Mountain St E, Cavalier, ND 58220 | 2006-12-11 |
| 1184725194 | Sanford Health Network North | General Acute Care Hospital | 12 3rd St Se, Hillsboro, ND 58045-4840 | 2006-09-25 |
| 1518061803 | Sanford Health Network North | General Acute Care Hospital | 42 6th Ave Se, Mayville, ND 58257-1506 | 2006-09-08 |
| 1215942032 | St. Luke's Hospital | General Acute Care Hospital | 702 1st Sw, Crosby, ND 58730-0010 | 2006-07-30 |
| 1154352169 | Towner County Medical Center Inc | General Acute Care Hospital | Highway 281 North, Cando, ND 58324-0688 | 2006-07-06 |
| 1295772804 | Wishek Hospital-clinic Association | General Acute Care Hospital | 1007 4th Ave S, Wishek, ND 58495-7527 | 2006-06-01 |
| 1750328662 | Cavalier County Memorial Hospital Association | General Acute Care Hospital | 909 2nd St, Langdon, ND 58249-2407 | 2006-05-31 |
| 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.