NPIMap

Organization Active NPI

Christian Unity Hospital Corporation

Doing business as Unity Medical Center

  • Critical Access Hospital
  • Grafton, ND
National Provider Identifier
1245216852
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
5020A Issued in ND
Legal business name
CHRISTIAN UNITY HOSPITAL CORPORATION
Doing business as
Unity Medical Center
Practice address
164 W 13TH Street
Unity Medical Center
Grafton, ND 58237-1896
Phone
(701) 352-1620
Fax
(701) 352-1671
NPI assigned
Dec 16, 2005
Last updated
Dec 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Mr. Alan O'Neil
Title
Ceo
Phone
(701) 352-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 5020A ND Primary

Addresses

Primary practice location

164 W 13TH Street
Unity Medical Center
Grafton, ND 58237-1896

Mailing address

164 W 13TH Street
Unity Medical Center
Grafton, ND 58237-1896
Phone (701) 352-1620

Other identifiers 2

IdentifierTypeStateIssuer
000927OtherNDBCBS ND
1230MedicaidND

Other names 1

  • Unity Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061104000233 ND Part A Provider - Critical Access Hospital 8123925401 Receives reassigned benefits from 23 practitioners
Practice locations: Grafton, ND
O20100930050664 ND DME Supplier - HospitalDME Supplier - Physician - Family PracticeDME Supplier - Oxygen & Equipment 8123925401 Practice locations: Grafton, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1245216852. Details of each certification follow.

Hospital certification: CCN 351320

Legal name
CHRISTIAN UNITY HOSPITAL CORPORATION
Doing business as
UNITY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2001
Last certification
Jul 12, 2023
Beds
14
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 24, 1970 in ND
Enrollment address
164 W 13TH St
Grafton, ND 58237-1826
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Unity Medical CenterCCN 351320 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Christian Unity Hospital Corp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Russell Carignan Individual Corporate Director Aug 1, 2018 100%
Todd Morgan Individual Corporate Director Aug 1, 2018 100%
Josephine Petersen Individual Corporate DirectorBoard Member-Vice President Jul 10, 2013 100%
Heidi Paulson Individual Corporate Director Aug 1, 2018 100%
Paul Mohagen Individual Corporate Director Aug 1, 2018 100%
Alan W Oneil Individual Corporate OfficerCeo Jun 1, 2014
Darla Hanson Individual W-2 Managing EmployeeSupervisor Mar 1, 2010
Roger Gorder Individual Corporate DirectorBoard Member Jul 10, 2013 100%
Christian Unity Hospital Corporation Organization, Grafton, ND Non-profit 5% Or Greater Direct Ownership Interest Feb 3, 1971
Amy Vollrath Individual Corporate DirectorBoard Member Jul 10, 2013 100%
Bradley Wurgler Individual Corporate OfficerCfo May 18, 2020 100%
Matthew S Viscito Individual Corporate Director Aug 1, 2018 100%
Thomas Campbell Individual Corporate Director Aug 1, 2018 100%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unity Medical CenterGrafton, ND, CCN 35Z320 Hospital 5% Or Greater Direct Ownership Interest Feb 3, 1971
Unity Medical Center/Grafton Family ClinicGrafton, ND, CCN 353978 Rural health clinic 5% Or Greater Direct Ownership Interest Feb 3, 1971
Park River Family ClinicPark River, ND, CCN 358507 Rural health clinic Operational/Managerial Control (100%) Mar 1, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

Affiliated clinicians 102

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1245216852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W 13TH STREET",
            "address_2": "UNITY MEDICAL CENTER",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371896",
            "telephone_number": "701-352-1620",
            "fax_number": "701-352-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 13TH STREET",
            "address_2": "UNITY MEDICAL CENTER",
            "city": "GRAFTON",
            "state": "ND",
            "postal_code": "582371896",
            "telephone_number": "701-352-1620",
            "fax_number": "701-352-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN UNITY HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-352-1620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ND",
            "license": "5020A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND",
            "identifier": "000927",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1230",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unity Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grafton, ND

Sources for this page

Verify at the official NPI Registry.