ASHLEY MEDICAL CENTER (NPI# 1841304342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841304342 |
| Entity Type | Organization |
| Organization Name | ASHLEY MEDICAL CENTER |
| Other Organization Name | ASHLEY MEDICAL CENTER LTC |
| Practice Address |
612 Center Ave N Ashley ND 58413-7013 |
| Mailing Address |
Po Box 450 612 Center Avenue North Ashley ND 58413-0450 |
| Practice Telephone | 7012883433 |
| Practice Fax Number | 7012883938 |
| Mailing Telephone | 7012883433 |
| Mailing Fax Number | 7012883938 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2014-05-20 |
| Authorized Official Name | MR. JERRY LEE LEPP (ADMINISTRATOR/CEO) |
| Authorized Official Telephone | 7012883433 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASHLEY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1001A | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 30188 | 05 | |
| ND | SKILLED NURSING FACILITY | 3319 | 01 |
| Other Name | Type Code |
|---|---|
| Ashley Medical Center LTC | 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727388 | Orchard Lake Investments Associates, LLC | Skilled Nursing Facility | 103 West Wallace, Ashley, MI 48806-0127 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760033997 | Oluwakemi Isokpan | Skilled Nursing Facility | 1323 Legion Ln W, West Fargo, ND 58078-8523 | 2019-09-29 |
| 1164809562 | Eventide Fargo LLC | Skilled Nursing Facility | 3225 51st St S, Fargo, ND 58104-7180 | 2015-05-05 |
| 1841691789 | Tufte Manor | Skilled Nursing Facility | 3300 Cherry St, Grand Forks, ND 58201-7634 | 2014-09-10 |
| 1861745838 | Benedictine Living Community of Wahpeton | Skilled Nursing Facility | 711 14th Avenue North, Wahpeton, ND 58075 | 2012-10-16 |
| 1215256078 | Eventide Jamestown LLC | Skilled Nursing Facility | 1300 2nd Pl Ne, Jamestown, ND 58401-3709 | 2010-05-19 |
| 1427371889 | Benedictine Living Communities-bismarck, Inc. | Skilled Nursing Facility | 4580 Coleman Street, Bismarck, ND 58503-0347 | 2010-03-12 |
| 1508197013 | The Evangelical Lutheran Good Samaritan Society | Skilled Nursing Facility | 301 Lorrain Dr, Bismarck, ND 58503-0311 | 2010-01-22 |
| 1144485608 | Villa Maria | Skilled Nursing Facility | 3102 University Dr S, Fargo, ND 58103-6004 | 2008-07-24 |
| 1477737625 | Pat Sitzer | Skilled Nursing Facility | 751 1st St., Pat Sizer, Minto, ND 58261 | 2007-12-24 |
| 1205041985 | Benedictine Living Center of Garrison | Skilled Nursing Facility | 609 Fourth Ave Ne, Garrison, ND 58540-0219 | 2007-05-14 |
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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.