Southwest Healthcare Services

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1007B Issued in ND

Legal business name

SOUTHWEST HEALTHCARE SERVICES

Practice address

802 2ND St NW
Bowman, ND 58623-4483

Phone

(701) 523-3214

Fax

(701) 523-4139

NPI assigned

Oct 4, 2005

Last updated

Dec 6, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis Goebel

Title

Administrator

Phone

(701) 523-3214

Specialties & licenses 1

Addresses

Other identifiers 2

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/southwe-491dcf64

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1114914140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 2ND ST NW",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234483",
            "telephone_number": "701-523-3214",
            "fax_number": "701-523-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 2ND ST NW",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234483",
            "telephone_number": "701-523-3214",
            "fax_number": "701-523-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "GOEBEL",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-523-3214"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1007B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001289",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30403",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sarsland, DDS
• Debra Schade
• Roma Schade
• Alexander Shatalov, PHARMD
• Southwest Health Care Services (Southwest Medical Clinic)
• Southwest Healthcare Services
• Southwest Healthcare Services
• Southwest Healthcare Services
• Southwest Healthcare Services
• Southwest Healthcare Services (Southwest Medical Clinic RHC)

• Skilled Nursing Facility in Bowman, ND
• Providers in Bowman, ND by specialty
• Skilled Nursing Facility in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.