MERCY HOSPITAL OF DEVILS LAKE (NPI# 1790751170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790751170 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL OF DEVILS LAKE |
| Other Organization Name | CHI ST ALEXIUS HEALTH DEVILS LAKE |
| Practice Address |
1031 7th St Ne Devils Lake ND 58301-2798 |
| Practice Telephone | 7016622131 |
| Practice Fax Number | 7016629651 |
| Mailing Telephone | 7016622131 |
| Mailing Fax Number | 7016629651 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | KURT SARGENT (VP OPERATIONAL FINANCE) |
| Authorized Official Telephone | 7012378064 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BLUE CROSS GROUP NUMBER | 076001 | 01 |
| ND | 1462607 | 05 |
| Other Name | Type Code |
|---|---|
| CHI St Alexius Health Devils Lake | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609972884 | Mercy Hospital of Devils Lake | Medicare Defined Swing Bed Unit | 1031 7th Street Ne, Devils Lake, ND 58301-2798 | 2006-09-15 |
| 1225009038 | Mercy Hospital of Devils Lake | Hospice Care, Community Based | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-01-30 |
| 1376514240 | Mercy Hospital of Devils Lake | Durable Medical Equipment & Medical Supplies | 223 4th Avenue, Devils Lake, ND 58301 | 2006-01-30 |
| 1184117293 | Mercy Hospital of Devils Lake | Clinic/Center | 425 College Dr S Ste 14, Devils Lake, ND 58301 | 2018-06-13 |
| 1659343093 | Mercy Hospital of Devils Lake | General Acute Care Hospital | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-02-01 |
| 1356312227 | Mercy Hospital of Devils Lake | Home Health | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-01-30 |
| Street Address |
1031 7TH ST NE |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-2798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225009038 | Mercy Hospital of Devils Lake | Hospice Care, Community Based | 1031 7th St Ne, Devils Lake, ND 58301-2798 | 2006-01-30 |
| 1427660836 | Kimberly Sue Svidal | Nurse Practitioner | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2020-08-18 |
| 1447892591 | Bio-medical Applications of Minnesota Inc | Clinic/Center | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2019-10-10 |
| 1164945994 | Carlee Lynn Thomson | Nurse Practitioner | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2017-07-24 |
| 1548715550 | Ashley Sebelius | Physical Therapist | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2016-08-19 |
| 1528470598 | Cory Schuh | Specialist/Technologist | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2014-05-27 |
| 1952530750 | William Frederick Thornton | Nurse Anesthetist, Certified Registered | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2009-07-14 |
| 1861674210 | Medical Imaging Associates | Radiology | 1031 7th St Ne, Devils Lake, ND 58301 | 2007-11-28 |
| 1124117692 | Altru Health System | Clinic/Center | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2006-10-12 |
| 1104911882 | John Erickson | Nurse Anesthetist, Certified Registered | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2006-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053354514 | Stephen Cheng | Emergency Medicine | 1031 7th St Ne, Devils Lake, ND 58301-2719 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902211410 | Steve Inglish | Emergency Medicine | Chi St Alexius Health, 900 E Broadway, Bismarck, ND 58501 | 2014-06-23 |
| 1720408131 | Stephane Robert Leo Blanchard | Emergency Medicine | 1720 University Dr S # 825, Fargo, ND 58103 | 2014-04-24 |
| 1174846745 | Michael Goldstone | Emergency Medicine | 6645 154th Ave. Ne, Grafton, ND 58237 | 2010-03-10 |
| 1508047788 | Linton Hospital | Emergency Medicine | 518 N Broadway, Linton, ND 58552-0850 | 2007-11-16 |
| 1972784155 | Linton Hospital | Emergency Medicine | 518 North Broadway, Linton, ND 58552-0850 | 2007-11-16 |
| 1407902919 | Elizabeth Elaine Sundberg | Emergency Medicine | 601 East St. N, Elgin, ND 58533 | 2007-01-26 |
| 1972698975 | Mercy Hospital of Valley City | Emergency Medicine | 570 Chautauqua Boulevard, Valley City, ND 58072-3145 | 2006-10-04 |
| 1992745970 | Barbara Meyer O'neal | Emergency Medicine | 900 42nd St S, Fargo, ND 58103-2119 | 2006-06-07 |
| 1871540435 | Brian Jefferson Dawson | Emergency Medicine | 3345 39th St S Ste 2, Fargo, ND 58104 | 2006-05-28 |
| 1740252220 | Michael Stanley Schlegel | Emergency Medicine | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2006-02-07 |
| Find all providers with the same taxonomy | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
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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.