NPIMap

Organization Active NPI

Quentin N Burdick Comprehensive Health Care Facility

  • Pharmacist
  • Belcourt, ND
National Provider Identifier
1245754548
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY
Doing business as
Quentin N Burdick Comprehensive Healthcare Facility
Practice address
1 Hospital Road
Belcourt, ND 58316-0160
Phone
(701) 477-6111
Fax
(701) 477-2500
NPI assigned
Jul 28, 2017
Last updated
Jul 28, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
QUENTIN N BURDICK COMPREHENSIVE HEALTHCARE FACILITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Deland J Davis
Title
Cfo
Phone
(701) 477-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X ND Primary

Addresses

Primary practice location

1 Hospital Road
Belcourt, ND 58316-0160

Mailing address

PO Box 160
Belcourt, ND 58316-0160
Phone (701) 477-6111

Other identifiers 1

IdentifierTypeStateIssuer
1465304MedicaidND

Other names 1

  • QUENTIN N BURDICK COMPREHENSIVE HEALTHCARE FACILITY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
QN Burdick Comp Facilit15 organizations share this tax ID, including this one
Part of
QN Burdick Comp Facilit

Other organizations with this tax ID 14

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

View all 14

Practitioners & affiliated clinicians

Practitioners 115

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 115

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1245754548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111",
            "fax_number": "701-477-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL ROAD",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111",
            "fax_number": "701-477-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUENTIN N BURDICK COMPREHENSIVE HEALTH CARE FACILITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "QUENTIN N BURDICK COMPREHENSIVE HEALTHCARE FACILITY",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DELAND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-477-6111"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1465304",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUENTIN N BURDICK COMPREHENSIVE HEALTHCARE FACILITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "QUENTIN N BURDICK COMPREHENSIVE HEALTHCARE FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belcourt, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.