NPIMap

Organization Active NPI

Quentin N. Burdick Memorial Health Care Facility

  • General Acute Care Hospital
  • Belcourt, ND
National Provider Identifier
1003212424
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1859 Issued in ND
Legal business name
QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY
Practice address
1300 Hospital Loop
Belcourt, ND 58316-0160
Phone
(701) 477-6111
NPI assigned
Nov 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deland Davis
Title
Chief Financial Officer
Phone
(701) 477-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1859 ND Primary

Addresses

Primary practice location

1300 Hospital Loop
Belcourt, ND 58316-0160

Mailing address

PO Box 160
Belcourt, ND 58316-0160

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D0408642Quentin N Burdick Memorial Health Care Facility1300 Hospital Loop, Belcourt, ND 58316AccreditationApr 9, 2028
35D2319418Quentin N Burdick Memorial Health Care Facility1300 Hospital Loop, Belcourt, ND 58316Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dunseith Public Health Nursing Office15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1003212424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL LOOP",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DELAND",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "701-477-8405"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "ND",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belcourt, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.