COOPERSTOWN MEDICAL CENTER NPI 1235239229

NPI Information

NPI: 1235239229
Provider Name: COOPERSTOWN MEDICAL CENTER

Doing Business As: DAKOTA REGIONAL MEDICAL CENTER

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
107 12TH ST S
COOPERSTOWN, ND
ZIP 58425
Phone: (701) 786-1700
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COOPERSTOWN MEDICAL CENTER is a critical access general acute care hospital in Cooperstown, ND. COOPERSTOWN MEDICAL CENTER NPI is 1235239229. The provider is registered as an organization entity type.
The provider Is Doing Business As Dakota Regional Medical Center.

The provider's business location address is:

107 12TH ST S
COOPERSTOWN, ND
ZIP 58425-501
Phone: (701) 786-1700
Fax: (701) 786-7121

The provider's authorized official is Kelley Shawn .
The authorized official title is Admin Assistant/credentialing and has the following contact phone number (701) 786-1709.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 8/29/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NC0060X	General Acute Care Hospital	Critical Access	5010P	NORTH DAKOTA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	87726	OTHER		MEDICA
2	1009	MEDICAID	NORTH DAKOTA
3	489	OTHER	NORTH DAKOTA	BLUE CROSS BLUE SHIELD
4	01009717	OTHER		PREFERED ONE

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: 5/5/2024

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