Northwood Deaconess Health Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1045A Issued in ND

Legal business name

NORTHWOOD DEACONESS HEALTH CENTER

Practice address

4 North Park Street
Northwood, ND 58267-0190

Phone

(701) 587-6060

Fax

(701) 587-6492

NPI assigned

Sep 20, 2006

Last updated

Nov 1, 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

Mr. Pete Antonson, CEO

Title

Administrator

Phone

(701) 587-6060

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Northwood Deaconess Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Northwood, ND
  • NPI 1003913518

  O20040226000123

  Same enrollment
• Northwood Deaconess Health Center

  • Rural Health Clinic/Center
  • Binford, ND
  • NPI 1023550118

  O20040226000123

  Same enrollment
• Northwood Deaconess Health Center

  • Critical Access Hospital
  • Northwood, ND
  • NPI 1356449136

  O20040226000123

  Same enrollment
• Northwood Deaconess Health Center

  • Rural Health Clinic/Center
  • Northwood, ND
  • NPI 1477964674

  O20040226000123

  Same enrollment
• Northwood Deaconess Health Center

  • Rural Health Clinic/Center
  • Larimore, ND
  • NPI 1689085797

  O20040226000123

  Same enrollment

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1184722969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "NORTHWOOD",
            "state": "ND",
            "postal_code": "582670190",
            "telephone_number": "701-587-6060",
            "fax_number": "701-587-6492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NORTH PARK STREET",
            "city": "NORTHWOOD",
            "state": "ND",
            "postal_code": "582670190",
            "telephone_number": "701-587-6060",
            "fax_number": "701-587-6492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD DEACONESS HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "ANTONSON",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-587-6060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1045A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30031",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001503",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal McGuire
• Condetta Ness, FNP-C
• Northwood Chiropractic P C
• Northwood Deaconess Health Center
• Northwood Deaconess Health Center
• Northwood Deaconess Health Center
• Northwood Deaconess Health Center
• Northwood Deaconess Health Center
• Daniel Ostlie, QSP TRANSPORTATION
• Pharmacists Associates LLC (Northwood Drug)

• Skilled Nursing Facility in Northwood, ND
• Providers in Northwood, 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 Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.