TIOGA MEDICAL CENTER (NPI# 1245296078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245296078 |
| Entity Type | Organization |
| Organization Name | TIOGA MEDICAL CENTER |
| Other Organization Name | TIOGA MEDICAL CENTER CLINIC |
| Practice Address |
810 N Welo St Tioga ND 58852-7157 |
| Mailing Address |
Po Box 159 Tioga ND 58852-0159 |
| Practice Telephone | 7016643368 |
| Practice Fax Number | 7016643300 |
| Mailing Telephone | 7016643368 |
| Mailing Fax Number | 7016643300 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2016-08-30 |
| Authorized Official Name | RANDALL K. PEDERSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 7016643305 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 9333 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 10158 | 05 | |
| ND | BCBSND | 00327001 | 01 |
| Other Name | Type Code |
|---|---|
| Tioga Medical Center Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013981893 | Tioga Medical Center | Clinic/Center | Ray Mini Mall, Railroad Ave, Ray, ND 58849 | 2006-02-16 |
| 1043280696 | Tioga Medical Center | General Acute Care Hospital | 810 N Welo St, Tioga, ND 58852-7157 | 2006-01-25 |
| 1740254523 | Tioga Medical Center | Clinic/Center | Main Street, Powers Lake, ND 58773 | 2006-02-16 |
| 1649244617 | Tioga Medical Center | Skilled Nursing Facility | 810 N Welo St, Tioga, ND 58852-7157 | 2006-02-15 |
| 1124092333 | Tioga Medical Center | Clinic/Center | 810 N Welo St, Tioga, ND 58852-7157 | 2006-02-14 |
| 1861463747 | Tioga Medical Center | Medicare Defined Swing Bed Unit | 810 N Welo St, Tioga, ND 58852-7157 | 2006-01-30 |
| Street Address |
810 N WELO ST |
| City | TIOGA |
| State | ND |
| Zip Code | 58852-7157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043280696 | Tioga Medical Center | General Acute Care Hospital | 810 N Welo St, Tioga, ND 58852-7157 | 2006-01-25 |
| 1417503442 | Jesse Mitchell | Nurse Practitioner | 810 N Welo St, Tioga, ND 58852-7157 | 2019-08-15 |
| 1881947695 | Lorena Kay Stout | Registered Nurse | 810 N Welo St, Tioga, ND 58852-7157 | 2012-10-17 |
| 1235490269 | Jeffrey Alden Moberg Jr. | Physician Assistant | 810 N Welo St, Tioga, ND 58852-7157 | 2012-06-06 |
| 1235387739 | Andrea Keever | Occupational Therapist | 810 N Welo St, Tioga, ND 58852-7157 | 2008-09-09 |
| 1285834614 | Vijay Neelamegam Premnath | Family Medicine | 810 N Welo St, Tioga, ND 58852 | 2007-07-24 |
| 1346468154 | Tioga Medical Center Pharmacy | Pharmacy | 810 N Welo St, Tioga, ND 58852-7157 | 2007-04-24 |
| 1285728378 | Tioga Medical Center Hospital | Clinic/Center | 810 N Welo St, Tioga, ND 58852-7157 | 2006-10-03 |
| 1649244617 | Tioga Medical Center | Skilled Nursing Facility | 810 N Welo St, Tioga, ND 58852-7157 | 2006-02-15 |
| 1124092333 | Tioga Medical Center | Clinic/Center | 810 N Welo St, Tioga, ND 58852-7157 | 2006-02-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790292274 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 220 North Gilbertson Street, Tioga, ND 58852 | 2018-01-05 |
| 1821504051 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 220 N Gilbertson Street, Tioga, ND 58852 | 2017-12-26 |
| 1053581389 | Tri City Cares, Inc. | PACE Provider Organization | 220 N Gilbertson St, Tioga, ND 58852 | 2008-03-03 |
| 1689725434 | Tioga Drug Inc | Pharmacy | 106 N. Main St., Tioga, ND 58852 | 2007-01-16 |
| 1689023129 | Dr. David C Carlson D.d.s PC | Dentist | 111 Main St, B 758, Tioga, ND 58852 | 2016-06-06 |
| 1639287535 | David Charles Carlson | Dentist | 111 Main Street, Tioga, ND 58852 | 2006-08-29 |
| 1093144818 | Robert H Rotering | Pediatrics | 810 N Welo Street, Tioga, ND 58852-0159 | 2013-11-02 |
| 1144348384 | Sharon L Krieger | Chiropractor | 23 North Main, Tioga, ND 58852-0186 | 2007-03-26 |
| 1285897959 | Stewart Chiropractic Center PC | Clinic/Center | 16 Nw 2nd St, Box 640, Tioga, ND 58852-0640 | 2008-07-03 |
| 1821039249 | Corinne E. Coughlin | Physician Assistant | 710 N Welo St, Tioga, ND 58852-7117 | 2006-06-09 |
| Find all providers in zip 58852 | ||||
| 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 |
|---|---|---|---|---|
| 1285897959 | Stewart Chiropractic Center PC | Clinic/Center | 16 Nw 2nd St, Box 640, Tioga, ND 58852-0640 | 2008-07-03 |
| 1285728378 | Tioga Medical Center Hospital | Clinic/Center | 810 N Welo St, Tioga, ND 58852-7157 | 2006-10-03 |
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|---|---|---|---|---|
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| 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 |
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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.