Hazen Memorial Hospital Association
Organization Active NPI Rural Health Clinic/Center · Hazen, ND
NPI 1174597173 · NPPES record last updated May 1, 2008
Key facts
- NPI
- 1174597173
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 353444 (ND)
- Legal business name
- HAZEN MEMORIAL HOSPITAL ASSOCIATION
- Practice address
- 517 8TH Ave NE
Hazen, ND 58545-4638 - Phone
- (701) 748-2256
- Fax
- (701) 748-2257
- NPI assigned
- Feb 15, 2006
- Organization subpart
- No
Authorized official
- Name
- James Marshall
- Title
- Ceo
- Phone
- (701) 748-2225
Other NPIs on the same Medicare enrollment 2
Member of 1
Practitioners 15
-
Britta Julson, PA-C
-
Carl Miller, CRNA
-
Kelsey Leigh Striefel, FNP-C
-
Steven F Arnold, NP-C
-
Kelli Lynn McAllister, FNP-BC
-
Sadia Munawar, MD
-
Kruti Patel, MD
-
Joseph D Scuderi, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040827000450 | ND | Part B Supplier - Clinic/Group Practice | 3779558366 |
Receives reassigned benefits from 45 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Beulah, ND; Hazen, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 353444 | ND | Yes |
Addresses
Primary practice location
517 8TH Ave NE
Hazen, ND 58545-4638
Mailing address
517 8TH Ave NE
Hazen, ND 58545-4638
Phone (701) 748-2256
Other names
- SAKAKAWEA HAZEN CLINIC
Other providers in Hazen, ND
- Hannah Hanson
- Camille B. Harvey
- Hazen Drug Inc.
- Hazen Family Eyecare PC
- Hazen Health Pharmacy
- Hazen Memorial Hospital Association
- Hazen Memorial Hospital Association
- Hazen Memorial Hospital Association
- Hazen Memorial Hospital Association
- Hazen Memorial Hospital Association
All providers in Hazen, ND · Rural Health Clinic/Center in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.