MOUNTRAIL COUNTY MEDICAL CENTER (NPI# 1447561139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447561139 |
| Entity Type | Organization |
| Organization Name | MOUNTRAIL COUNTY MEDICAL CENTER |
| Other Organization Name | MCMC RHC |
| Practice Address |
615 6th St Se Stanley ND 58784-4444 |
| Mailing Address |
Po Box 399 Stanley ND 58784-0399 |
| Practice Telephone | 7016283990 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | CHRISTOPHER F BEEHLER (IT/FINANCIAL SUPPORT SPECIALIST) |
| Authorized Official Telephone | 7016282424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1459013 | 05 | |
| ND | 1459886 | 05 |
| Other Name | Type Code |
|---|---|
| MCMC RHC | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOUNTRAIL COUNTY MEDICAL CENTER INC | 615 6th St Se, Stanley, ND 58784-4444 |
| Street Address |
615 6TH ST SE |
| City | STANLEY |
| State | ND |
| Zip Code | 58784-4444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043850753 | Matthew Klein | Physical Therapist | 615 6th St Se, Stanley, ND 58784-4444 | 2020-01-10 |
| 1306486014 | Sarah Marie Wilcox | Physical Therapist | 615 6th St Se, Stanley, ND 58784-4444 | 2020-01-10 |
| 1437553708 | Heidi Lynn Nielsen | Physical Therapist | 615 6th St Se, Stanley, ND 58784-4444 | 2014-10-15 |
| 1457762627 | Richard Paul Laksonen Jr. | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784 | 2014-05-09 |
| 1811339724 | Janae Marcene Maier | Physical Therapist | 615 6th St Se, Stanley, ND 58784 | 2013-07-19 |
| 1356680086 | Abbey M Ruland | Physician Assistant | 615 6th St Se, Stanley, ND 58784-4444 | 2013-01-31 |
| 1972734499 | Tara M Nardacci | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-31 |
| 1326278912 | Mark Kenneth Longmuir | Family Medicine | 615 6th St Se, Stanley, ND 58784-4444 | 2009-07-17 |
| 1124279633 | Vonnie Jean Johnson | Nurse Practitioner | 615 6th St Se, Stanley, ND 58784-4444 | 2008-10-02 |
| 1063668796 | Barbara A Roise | Physical Therapist | 615 6th St Se, Stanley, ND 58784-4444 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003322231 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 723 2nd Street Sw, Stanley, ND 58784 | 2017-12-26 |
| 1457521155 | Tri City Cares, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| 1821268517 | Tri City Care, Inc | Clinic/Center | 723 1st St Sw, Stanley, ND 58784 | 2008-03-10 |
| 1669642369 | Tri City Cares, Inc | Clinic/Center | 415 7th Ave Se, Stanley, ND 58784 | 2008-03-10 |
| 1982800959 | Tri City Cares, Inc. | Clinic/Center | 15 1st Street Se, Stanley, ND 58784 | 2007-06-26 |
| 1356431894 | Donna M Wacker | Nurse Practitioner | 615 6 St Se, Mountrail County Medical Center, Stanley, ND 58784 | 2006-10-13 |
| 1053896357 | Nancy A Hermanson | Case Manager/Care Coordinator | 18 2nd Ave Se, Stanley, ND 58784 | 2018-10-02 |
| 1174777676 | Stanley Ambulance Service | Ambulance | 221 S Main St, Stanley, ND 58784 | 2008-11-11 |
| 1285804906 | Tri City Care, Inc | Clinic/Center | 15 1st St Se, Stanley, ND 58784 | 2008-03-10 |
| 1477756674 | Stacey Mae Mortensen | Chiropractor | 108 S Main St, Box 28, Stanley, ND 58784 | 2007-06-06 |
| Find all providers in zip 58784 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1598779571 | Page Memorial Hospital | Clinic/Center | 235 Medical Dr, Stanley, VA 22851-4112 | 2006-07-28 |
| 1356311252 | Ascension Our Lady of Victory Hospital Inc | Clinic/Center | 1120 Pine St, Stanley, WI 54768-1297 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963274 | Nelson County Health System | Clinic/Center | 115 South St E, Michigan, ND 58259-4120 | 2020-08-21 |
| 1821637828 | Christian Unity Hospital Corporation | Clinic/Center | 503 Park St W Ste B, Park River, ND 58270-4138 | 2019-12-23 |
| 1023550118 | Northwood Deaconess Health Center | Clinic/Center | 308 Whinery Street, Binford, ND 58416 | 2016-11-07 |
| 1689085797 | Northwood Deaconess Health Center | Clinic/Center | 611 Towner Ave, Larimore, ND 58251 | 2014-05-12 |
| 1043649486 | Jacobson Memorial Hospital Care Center | Clinic/Center | 215 3rd Ave W, Richardton, ND 58652-7109 | 2013-11-06 |
| 1700064599 | Rolla Eye Clinic | Clinic/Center | 118 3rd St. Ne, Rolla, ND 58367-1170 | 2008-02-05 |
| 1891859948 | Nelson County Health System | Clinic/Center | 117 2nd St West, Lakota, ND 58344 | 2006-12-21 |
| 1760570394 | West River Health Services | Clinic/Center | 211 Main Street, Scranton, ND 58653 | 2006-10-10 |
| 1942398508 | West River Health Services | Clinic/Center | 420 Pacific Ave, Mott, ND 58646 | 2006-10-10 |
| 1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
| 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.