ASHLEY MEDICAL CENTER (NPI# 1851335830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851335830 |
Entity Type | Organization |
Organization Name | ASHLEY MEDICAL CENTER |
Other Organization Name | AMC CLINIC |
Practice Address |
612 Center Ave N Ashley ND 58413-7013 |
Mailing Address |
Po Box 450 612 Center Ave N Ashley ND 58413-0450 |
Practice Telephone | 7012883448 |
Practice Fax Number | 7012883213 |
Mailing Telephone | 7012883448 |
Mailing Fax Number | 7012883213 |
Enumeration Date | 2006-06-16 |
Last Update Date | 2020-08-22 |
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 | ND | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 16578 | 05 |
Other Name | Type Code |
---|---|
AMC 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 |
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 |
1841304342 | Ashley Medical Center | Skilled Nursing Facility | 612 Center Ave N, Ashley, ND 58413-7013 | 2006-08-19 |
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 |
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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 | 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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1679139323 | St Aloisius Hospital Inc | Clinic/Center | 61 Main Ave S, Fessenden, ND 58438-7101 | 2019-05-17 |
1225503972 | Central Dakota Forensic Nurse Examiners | Clinic/Center | 1929 N Washington St Ste W, Bismarck, ND 58501-1616 | 2018-10-09 |
1003399064 | Ideal Option, Pllc | Clinic/Center | 44 24th St E, Dickinson, ND 58601-6576 | 2018-09-14 |
1174001416 | Ideal Option, Pllc | Clinic/Center | 1260 W Villard St Unit 1, Dickinson, ND 58601-4848 | 2018-07-30 |
1376020396 | Ideal Option, Pllc | Clinic/Center | 3520 N Broadway, Minot, ND 58703-0513 | 2018-07-23 |
1518462894 | Ideal Option, Pllc | Clinic/Center | 316 2nd Ave W Ste 1, Williston, ND 58801-5218 | 2018-03-28 |
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.