Kimberly Ford (NPI# 1205366788, PAC ID# 5496029340) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205366788 |
| PAC ID by PECOS | 5496029340 |
| Professional Enrollment ID | I20170915003185 |
| Full Name | Kimberly Ford |
| Organization Legal Name | PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION |
| Address |
301 Mountain St E Cavalier ND 58220-4015 |
| Phone Number | 7012658461 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789643719 |
| Number of Group Practice Members | 69 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 351319 | PEMBINA COUNTY MEMORIAL HOSPITAL |
| 350019 | ALTRU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 301 Mountain St E, Cavalier, ND 58220-4015 | 7012658461 | PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION |
| 301 Mountain St E, Suite 2, Cavalier, ND 58220-4015 | 7012658461 | PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION |
| Organization Legal Name | PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kulvinder S Sumra | Family Medicine | Pembina County Memorial Hospital Association | 301 Mountain St E, Cavalier, ND 58220-4015 |
| Christopher A Jackson | Diagnostic Radiology | Pembina County Memorial Hospital Association | 166 E 4th St, Suite 100, St Paul, MN 55101-1421 |
| Inder V Khokha | General Surgery | Pembina County Memorial Hospital Association | 301 Mountain St E, Cavalier, ND 58220-4015 |
| Laura D Ermer | Physician Assistant | Pembina County Memorial Hospital Association | 301 Mountain St E, Cavalier, ND 58220-4015 |
| Sara R Nace | Diagnostic Radiology | Pembina County Memorial Hospital Association | 166 E 4th St, Suite 100, St Paul, MN 55101-1421 |
| Street Address |
301 MOUNTAIN ST E |
| City | CAVALIER |
| State | ND |
| Zip | 58220-4015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kulvinder S Sumra | Family Medicine | Pembina County Memorial Hospital Association | 301 Mountain St E, Cavalier, ND 58220-4015 |
| Inder V Khokha | General Surgery | Pembina County Memorial Hospital Association | 301 Mountain St E, Cavalier, ND 58220-4015 |
| Laura D Ermer | Physician Assistant | Pembina County Memorial Hospital Association | 301 Mountain St E, Cavalier, ND 58220-4015 |
| City | CAVALIER |
| Zip Code | 58220 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CAVALIER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Ford.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.