LISBON AREA HEALTH SERVICES (NPI# 1184051971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184051971 |
| Entity Type | Organization |
| Organization Name | LISBON AREA HEALTH SERVICES |
| Other Organization Name | CHI LISBON HEALTH |
| Practice Address |
905 Main St Lisbon ND 58054-4334 |
| Practice Telephone | 7016836400 |
| Mailing Telephone | 7016836400 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2019-04-29 |
| Authorized Official Name | PEGGY LARSON (PERSIDENT) |
| Authorized Official Telephone | 7016836419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
5031 | ND | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1464057 | 05 |
| Other Name | Type Code |
|---|---|
| CHI Lisbon Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811168958 | Lisbon Area Health Services | Emergency Medicine | 905 Main Street, Lisbon, ND 58054 | 2008-03-17 |
| 1033292875 | Lisbon Area Health Services | Medicare Defined Swing Bed Unit | 905 Main Street, Lisbon, ND 58054-0353 | 2006-10-23 |
| 1366545386 | Lisbon Area Health Services | Home Health | 920 Main St, Lisbon, ND 58054-4363 | 2006-09-06 |
| 1609872431 | Lisbon Area Health Services | General Acute Care Hospital | 905 Main St, Lisbon, ND 58054-4334 | 2005-06-27 |
| Street Address |
905 MAIN ST |
| City | LISBON |
| State | ND |
| Zip Code | 58054-4334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467918391 | Roberto A Wharton | Physical Medicine & Rehabilitation | 905 Main St, Lisbon, ND 58054-4334 | 2019-02-15 |
| 1831619105 | Sierra Devries | Registered Nurse | 905 Main St, Lisbon, ND 58054-4334 | 2017-06-27 |
| 1619407285 | Wayne Eugene Engelhard | Physical Therapist | 905 Main St, Lisbon, ND 58054-4334 | 2017-06-15 |
| 1023556131 | Staci Rae Bleecker | Occupational Therapy Assistant | 905 Main St, Lisbon, ND 58054-4334 | 2017-02-09 |
| 1619288305 | Brent Michael Buchholz | Physician Assistant | 905 Main St, Lisbon, ND 58054-4334 | 2010-06-28 |
| 1659462901 | Lori Ann Hill | Nurse Practitioner | 905 Main St, Lisbon, ND 58054-4334 | 2006-09-28 |
| 1881620805 | Rudolf Loperena | Family Medicine | 905 Main St, Lisbon, ND 58054-4334 | 2006-06-23 |
| 1184613465 | Oscar Fernandez | Family Medicine | 905 Main St, Lisbon, ND 58054-4334 | 2005-10-19 |
| 1609872431 | Lisbon Area Health Services | General Acute Care Hospital | 905 Main St, Lisbon, ND 58054-4334 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275944407 | Dr Duane Krivarchka, Dds, PC | Clinic/Center | 11 11th Ave W, Lisbon, ND 58054 | 2014-05-09 |
| 1407999022 | Jodi Kae Sandness-rieger | Chiropractor | 15 - 11th Ave W, Lisbon, ND 58054 | 2007-02-14 |
| 1588724553 | First Medic Ambulance Service of Ransom County Inc | Ambulance | 1100 Oak St, Lisbon, ND 58054 | 2006-12-11 |
| 1558433227 | Tricia Ann Roesler | Dietitian, Registered | 403 Elm Street, Lisbon, ND 58054 | 2006-11-15 |
| 1417932823 | Meredith K Kelsen | Nurse Practitioner | 10 9th Ave E, Lisbon, ND 58054 | 2005-12-08 |
| 1760021745 | Mobilityplus Rehabilitation, Ltd | Occupational Therapist | 802 Main St, Lisbon, ND 58054 | 2019-12-23 |
| 1811168958 | Lisbon Area Health Services | Emergency Medicine | 905 Main Street, Lisbon, ND 58054 | 2008-03-17 |
| 1992815294 | Ryan M Nelson | Dentist | 420 Main Street, Lisbon, ND 58054 | 2006-08-30 |
| 1952331159 | Family Medical Clinic PC | Family Medicine | 10 9th Ave E, Lisbon, ND 58054 | 2006-07-04 |
| 1477538775 | Barbara Sheets Olson | Family Medicine | 10 9th Ave E, Lisbon, ND 58054 | 2005-12-08 |
| Find all providers in zip 58054 | ||||
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441641 | Altru Health System | Clinic/Center | 233 Towner Ave, Larimore, ND 58251 | 2020-06-10 |
| 1316580343 | Moos Family Chiropractic LLC | Clinic/Center | 517 S 5th St, Bismarck, ND 58504-5702 | 2019-10-22 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.