PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION (NPI# 1760542500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760542500 |
| Entity Type | Organization |
| Organization Name | PEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION |
| Practice Address |
301 Mountain St E Cavalier ND 58220 |
| Mailing Address |
301 Mountain Street Cavalier ND 58220 |
| Practice Telephone | 7012658473 |
| Practice Fax Number | 7012656269 |
| Mailing Telephone | 7012658473 |
| Mailing Fax Number | 7012656269 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-10-08 |
| Authorized Official Name | EVERETT A. BUTLER (CEO) |
| Authorized Official Telephone | 7012656336 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
5009B | ND | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12113 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356487565 | Pembina County Memorial Hospital Association | Skilled Nursing Facility | 804 Main St W, Cavalier, ND 58220-4646 | 2007-01-29 |
| 1205244944 | Pembina County Memorial Hospital Association | Physician Assistant | 301 Mountain St E, Cavalier, ND 58220-4015 | 2014-07-25 |
| 1063634210 | Pembina County Memorial Hospital Association | Medicare Defined Swing Bed Unit | 301 Mountain St E, Cavalier, ND 58220-0380 | 2007-05-03 |
| 1417093949 | Pembina County Memorial Hospital Association | Clinic/Center | 301 Mountain St E, Cavalier, ND 58220-4015 | 2007-01-30 |
| Street Address |
301 MOUNTAIN ST E |
| City | CAVALIER |
| State | ND |
| Zip Code | 58220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205366788 | Kimberly Ford | Nurse Practitioner | 301 Mountain St E, Cavalier, ND 58220-4015 | 2017-06-15 |
| 1316311582 | Kaci Sharp | Dietitian, Registered | 301 Mountain St E, Cavalier, ND 58220-4015 | 2015-11-25 |
| 1346649829 | Laura Dawn Ermer | Physician Assistant | 301 Mountain St E, Cavalier, ND 58220-4015 | 2014-08-20 |
| 1205244944 | Pembina County Memorial Hospital Association | Physician Assistant | 301 Mountain St E, Cavalier, ND 58220-4015 | 2014-07-25 |
| 1558619692 | Alyssa Marie Rollness | Physical Therapist | 301 Mountain St E, Cavalier, ND 58220-4015 | 2012-08-21 |
| 1063634210 | Pembina County Memorial Hospital Association | Medicare Defined Swing Bed Unit | 301 Mountain St E, Cavalier, ND 58220-0380 | 2007-05-03 |
| 1205962909 | Cavalier Ambulance Service, Inc | Ambulance | 301 Mountain St E, Cavalier, ND 58220-4015 | 2007-02-26 |
| 1417093949 | Pembina County Memorial Hospital Association | Clinic/Center | 301 Mountain St E, Cavalier, ND 58220-4015 | 2007-01-30 |
| 1184760274 | Kulvinder Sumra | Family Medicine | 301 Mountain St E, Cavalier, ND 58220-4015 | 2007-01-29 |
| 1104962299 | Renee Lee | Physician Assistant | 301 Mountain St E, Cavalier, ND 58220-4015 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184045908 | April Waters | Local Education Agency (LEA) | 106b Division Ave N, Cavalier, ND 58220 | 2013-12-20 |
| 1447536578 | Stevens Dental Group | Dentist | 202 East 3rd Avenue South, Cavalier, ND 58220 | 2011-11-03 |
| 1871714816 | Susan Schrader | Occupational Therapist | 106b Division Avenue North, Cavalier, ND 58220 | 2007-05-01 |
| 1023238508 | Brenda Sue Brumbaugh | Speech-Language Pathologist | 300 Main St. East, Cavalier, ND 58220 | 2007-04-26 |
| 1508982547 | Chris Houska | Speech-Language Pathologist | 106b Division Ave. N., Cavalier, ND 58220 | 2007-03-21 |
| 1285771303 | Pembina Special Education Cooperative | Physical Therapist | 106b Division Ave., Cavalier, ND 58220 | 2007-01-30 |
| 1689722308 | Rehab Products Inc | Durable Medical Equipment & Medical Supplies | 708 Division Avenue South, Cavalier, ND 58220 | 2007-01-08 |
| 1366523482 | Rehab Products, Inc | Durable Medical Equipment & Medical Supplies | 708 Division Street South, Rehab Products Inc, Cavalier, ND 58220 | 2006-10-17 |
| 1265525299 | Judy A Pegg | Physician Assistant | 301 Mountain St E; Ste A, Cavalier, ND 58220 | 2006-10-02 |
| 1881785244 | Eric J Larson | Internal Medicine | 201 East 3rd Avenue South, Cavalier, ND 58220 | 2006-09-28 |
| Find all providers in zip 58220 | ||||
| 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 |
| 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 |
| 1609813625 | Linton Hospital | General Acute Care Hospital | 518 N Broadway St, Linton, ND 58552-7308 | 2006-05-31 |
| 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.