Provider Type Icon

ST ALEXIUS MEDICAL CENTER NPI 1417001751


NPI Information

NPI: 1417001751
Provider Name: ST ALEXIUS MEDICAL CENTER

Doing Business As: GREAT PLAINS HEALTH COMPANY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 35D0408924

Address:
3222 28TH ST SW
GREAT PLAINS HEALTH COMPANY
FARGO, ND
ZIP 58104
Phone: (701) 232-3000
Get Directions

ST ALEXIUS MEDICAL CENTER is a durable medical equipment medical supplies in Fargo, ND. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ST ALEXIUS MEDICAL CENTER NPI is 1417001751. The provider is registered as an organization entity type.
The provider Is Doing Business As Great Plains Health Company.

The provider's business location address is:

3222 28TH ST SW
GREAT PLAINS HEALTH COMPANY
FARGO, ND
ZIP 58104-183
Phone: (701) 232-3000
Fax: (701) 232-3005

The provider's authorized official is Gary Miller .
The authorized official title is Cfo and has the following contact phone number (701) 530-7000.

The CLIA number assigned to this NPI record is 35D0408924 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 1/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesNo
3335E00000XProsthetic/Orthotic SupplierNo
4332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
5332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
6332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERTAX ID #
20356230007MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTAMEDICARE
38200403OTHERMEDICA INS
423337OTHERNORTH DAKOTABCBS
554594MEDICAIDNORTH DAKOTA
6259M7GROTHERMINNESOTABLUE PLUS MN MEDICAID
705957001OTHERNORTH DAKOTABCBS ND CLINIC #
88200402OTHERMEDICA INS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.