GARRISON MEMORIAL HOSPITAL (NPI# 1952381873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952381873 |
Entity Type | Organization |
Organization Name | GARRISON MEMORIAL HOSPITAL |
Other Organization Name | GARRISON FAMILY CLINIC |
Practice Address |
437 3rd Ave Se Garrison ND 58540-7235 |
Mailing Address |
437 3rd Ave Se Po Box 9 Garrison ND 58540-7235 |
Practice Telephone | 7014632245 |
Practice Fax Number | 7014636543 |
Mailing Telephone | 7014632245 |
Mailing Fax Number | 7014636543 |
Enumeration Date | 2006-01-18 |
Last Update Date | 2014-10-07 |
Authorized Official Name | TOD S GRAEBER (ADMINISTRATOR) |
Authorized Official Telephone | 7014636505 |
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 | BLUE CROSS/BLUE SHIELD | 9555 | 01 |
ND | 17125 | 05 | |
ND | 5083 | 05 |
Other Name | Type Code |
---|---|
GARRISON FAMILY CLINIC | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861462442 | Garrison Memorial Hospital | Medicare Defined Swing Bed Unit | 407 3rd Ave Se, Garrison, ND 58540-7235 | 2006-01-25 |
1033634712 | Garrison Memorial Hospital | Clinic/Center | 407 3rd Ave Se, Garrison, ND 58540-7235 | 2017-08-03 |
1669442257 | Garrison Memorial Hospital | Skilled Nursing Facility | 407 3rd Ave Se, Garrison, ND 58540-7235 | 2006-01-25 |
1982674560 | Garrison Memorial Hospital | General Acute Care Hospital | 407 3rd Ave Se, Garrison, ND 58540-7235 | 2006-01-25 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | GARRISON MEMORIAL HOSPITAL | 407 3rd Ave Se, Garrison, ND 58540-7235 |
Street Address |
437 3RD AVE SE |
City | GARRISON |
State | ND |
Zip Code | 58540-7235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437645306 | Forrest Leroy Hirsch | Nurse Practitioner | 437 3rd Ave Se, Garrison, ND 58540-7235 | 2018-07-03 |
1407238371 | Jacquelyn A Liffrig | Nurse Practitioner | 437 3rd Ave Se, Garrison, ND 58540 | 2015-06-26 |
1801804588 | Jon E Dornacker | Family Medicine | 437 3rd Ave Se, Garrison, ND 58540-0009 | 2006-08-04 |
1659328722 | Vern Allen Harchenko | Family Medicine | 437 3rd Ave Se, Garrison, ND 58540-7235 | 2006-05-27 |
1609846823 | Luanna Graeber | Physician Assistant | 437 3rd Ave Se, Garrison, ND 58540-7235 | 2006-01-23 |
1912987843 | Kathleen Larson | Physician Assistant | 437 3rd Ave Se, Garrison, ND 58540-7235 | 2006-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144430646 | Ann Hagen-reinholt | Physical Therapist | 407 3 Rd Ave Se, Garrison, ND 58540 | 2007-05-23 |
1346305836 | Kim L Essler | Pharmacist | 21 N. Main St., Garrison, ND 58540 | 2006-12-26 |
1144391608 | Hedi J Rime | Nurse Practitioner | 131 N. Main St, Garrison, ND 58540 | 2006-11-13 |
1871586008 | Benedictine Living Communities Inc | Skilled Nursing Facility | 609 4th Ave Ne, Garrison, ND 58540 | 2005-08-23 |
1154504967 | Complete Chiropractic PC | Clinic/Center | 101 N Main St, Garrison, ND 58540 | 2007-12-14 |
1164603551 | Nathan Patrick Turck | Chiropractor | 101 N Main St, Garrison, ND 58540 | 2007-11-14 |
1932312998 | Garrison Memorial Hospital Pharmacy | Pharmacy | 407 3rd Ave Se, Garrison, ND 58540 | 2007-05-07 |
1417167925 | Denise Marie Gradin | Physical Therapist | 407 3 Ave Se, Garrison, ND 58540-0039 | 2007-05-23 |
1437369931 | Kurt D Olson | Physical Therapist | 407 3rd Ave Se, Garrison, ND 58540-0039 | 2007-05-23 |
1114055324 | Chase Pharmacy | Pharmacy | 21 N Main St, Garrison, ND 58540-0189 | 2007-03-01 |
Find all providers in zip 58540 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790815777 | Aitkin Community Hospital, Inc. | Clinic/Center | 27278 State Highway 18, Garrison, MN 56450 | 2007-03-07 |
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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 |
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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.