JACOBSON MEMORIAL HOSPITAL CARE CENTER (NPI# 1336196039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336196039 |
| Entity Type | Organization |
| Organization Name | JACOBSON MEMORIAL HOSPITAL CARE CENTER |
| Practice Address |
601 East St N Elgin ND 58533-7105 |
| Practice Telephone | 7015842792 |
| Practice Fax Number | 7015843348 |
| Mailing Telephone | 7015842792 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | MR. JAMES OPDAHL (CEO) |
| Authorized Official Telephone | 7015842792 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
5014P | ND | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS SWINGBED | 002949 | 01 |
| ND | 1014 | 05 | |
| ND | BCBS HOSPITAL | 000539 | 01 |
| ND | 1919 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043649486 | Jacobson Memorial Hospital Care Center | Clinic/Center | 215 3rd Ave W, Richardton, ND 58652-7109 | 2013-11-06 |
| 1629165915 | Jacobson Memorial Hospital Care Center | Skilled Nursing Facility | 601 E Street N, Elgin, ND 58533 | 2006-10-06 |
| 1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
| 1376651463 | Jacobson Memorial Hospital Care Center | Clinic/Center | 811 Main St, Hebron, ND 58638 | 2006-08-28 |
| 1003929944 | Jacobson Memorial Hospital Care Center | Clinic/Center | 602 Ash Ave E, Glen Ullin, ND 58631 | 2006-08-16 |
| 1184002347 | Jacobson Memorial Hospital Care Center | Long Term Care Hospital | 601 East St N, Elgin, ND 58533-7105 | 2015-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JACOBSON MEMORIAL HOSPITAL CARE CENTER | 601 East St N, Elgin, ND 58533-7105 |
| Street Address |
601 EAST ST N |
| City | ELGIN |
| State | ND |
| Zip Code | 58533-7105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154952083 | April Berger | Nurse Practitioner | 601 East St N, Elgin, ND 58533-7105 | 2020-01-29 |
| 1013375500 | Arthur Renner | Physician Assistant | 601 East St N, Elgin, ND 58533-7105 | 2016-01-29 |
| 1184002347 | Jacobson Memorial Hospital Care Center | Long Term Care Hospital | 601 East St N, Elgin, ND 58533-7105 | 2015-05-08 |
| 1811398365 | Joseph Dragon | Nurse Practitioner | 601 East St N, Elgin, ND 58533-7105 | 2014-09-15 |
| 1225294101 | Carey Elizabeth Rivinius | Nurse Practitioner | 601 East St N, Elgin, ND 58533-7105 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740820299 | Three In One Physical Therapy, Pllc | Physical Therapist | 207 Main Street North, Elgin, ND 58533 | 2020-01-13 |
| 1033233150 | Nancy L Mcpherson | Physician Assistant | 603 East St North, Jacobson Memorial Hospital Care Center, Elgin, ND 58533 | 2007-03-16 |
| 1811036247 | Tyesha Dawn Marie Dent | Physician Assistant | 302 North Main, Elgin, ND 58533 | 2007-02-05 |
| 1407902919 | Elizabeth Elaine Sundberg | Emergency Medicine | 601 East St. N, Elgin, ND 58533 | 2007-01-26 |
| 1629165915 | Jacobson Memorial Hospital Care Center | Skilled Nursing Facility | 601 E Street N, Elgin, ND 58533 | 2006-10-06 |
| 1013012327 | Family Vision Clinic LLP | Optometrist | 110 Main St N, Elgin, ND 58533 | 2006-09-13 |
| 1508161811 | Deepak Manmohan Goyal | Internal Medicine | 603 East St N, Elgin, ND 58533 | 2011-01-18 |
| 1821392093 | Home Town Health | Physician Assistant | 302 N Main St, Elgin, ND 58533 | 2011-01-03 |
| 1396895942 | Marcia Ketterling | Nurse Practitioner | 302 N Main St, Elgin, ND 58533 | 2007-01-12 |
| 1023036050 | Economy Drug Inc | Pharmacy | 201 N Main St, Elgin, ND 58533 | 2006-07-17 |
| Find all providers in zip 58533 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396006953 | Niran Kotrapu | General Acute Care Hospital | 1048 N Parkview Dr, Bismarck, ND 58501-2469 | 2012-05-30 |
| 1457477218 | St Aloisius Hospital Inc | General Acute Care Hospital | 325 Brewster St E, Harvey, ND 58341-1653 | 2007-03-22 |
| 1861556102 | Union Hospital Society of Mayvile Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2006-12-21 |
| 1760542500 | Pembina County Memorial Hospital Association | General Acute Care Hospital | 301 Mountain St E, Cavalier, ND 58220 | 2006-12-11 |
| 1184725194 | Sanford Health Network North | General Acute Care Hospital | 12 3rd St Se, Hillsboro, ND 58045-4840 | 2006-09-25 |
| 1518061803 | Sanford Health Network North | General Acute Care Hospital | 42 6th Ave Se, Mayville, ND 58257-1506 | 2006-09-08 |
| 1215942032 | St. Luke's Hospital | General Acute Care Hospital | 702 1st Sw, Crosby, ND 58730-0010 | 2006-07-30 |
| 1154352169 | Towner County Medical Center Inc | General Acute Care Hospital | Highway 281 North, Cando, ND 58324-0688 | 2006-07-06 |
| 1295772804 | Wishek Hospital-clinic Association | General Acute Care Hospital | 1007 4th Ave S, Wishek, ND 58495-7527 | 2006-06-01 |
| 1750328662 | Cavalier County Memorial Hospital Association | General Acute Care Hospital | 909 2nd St, Langdon, ND 58249-2407 | 2006-05-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACOBSON MEMORIAL HOSPITAL CARE CENTER.
| 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.