Hillsboro Medical Center

Primary specialty

AmbulanceTaxonomy code 341600000X

License

5026PND Issued in ND

Legal business name

HILLSBORO MEDICAL CENTER

Practice address

12 3Rd St SE
Hillsboro, ND 58045-4840

Phone

(701) 636-3219

Fax

(701) 636-3206

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Jac McTaggart

Title

Ceo

Phone

(701) 636-3201

Specialties & licenses 2

Addresses

Other names 1

• Hillsboro Medical Center Former legal business name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sanford Health Network North

  • Community/Retail Pharmacy
  • Thief River Falls, MN
  • NPI 1346423373

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shayla Nygaard, DPT

  • Physical Therapist
  • Hillsboro, ND
  • NPI 1003536376
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1083706105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 3RD ST SE",
            "city": "HILLSBORO",
            "state": "ND",
            "postal_code": "580454840",
            "telephone_number": "701-636-3219",
            "fax_number": "701-636-3206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 3RD ST SE",
            "city": "HILLSBORO",
            "state": "ND",
            "postal_code": "580454840",
            "telephone_number": "701-636-3219",
            "fax_number": "701-636-3206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBORO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "MCTAGGART",
        "authorized_official_first_name": "JAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-636-3201"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "56",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "ND",
            "license": "5026PND",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsboro Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bryce Graves
• Randy Allen Habeck, PHARM. D.
• Mary Ann Hastings, MSA-LSW
• Dawn Haugen, LSW
• Hillsboro Drug & Gift, Inc.
• Hillsboro Medical Center
• Hillsboro Medical Center
• Melissa Ann Ketterl, LBSW
• Allison Marie Klassen, LSW
• Jackelyn Marie Kraling, LSW

• All providers in Hillsboro, ND
• Ambulance in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.