MOUNTRAIL COUNTY MEDICAL CENTER INC (NPI# 1831289362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831289362 |
| Entity Type | Organization |
| Organization Name | MOUNTRAIL COUNTY MEDICAL CENTER INC |
| Practice Address |
615 6th St Se Stanley ND 58784-4444 |
| Mailing Address |
Po Box 399 Stanley ND 58784-0399 |
| Practice Telephone | 7016282505 |
| Practice Fax Number | 7016283990 |
| Mailing Telephone | 7016282424 |
| Mailing Fax Number | 7016283990 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2019-11-05 |
| Authorized Official Name | MR. 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 | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12830 | 05 | |
| ND | 05057 | 05 |
| 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 |
| 1447561139 | Mountrail County Medical Center | Clinic/Center | 615 6th St Se, Stanley, ND 58784-4444 | 2010-06-28 |
| 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 |
| 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 | 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 | ||||
Please comment or provide details below to improve the information on MOUNTRAIL COUNTY MEDICAL CENTER INC.
| 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.