Active NPI
Carrington Health Center
- Medicare Defined Swing Bed Hospital Unit
- Carrington, ND
National Provider Identifier
1255445730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 5008P
- Legal business name
- CARRINGTON HEALTH CENTER
- Practice address
- 800 4TH St N
Carrington, ND 58421-1217 - Phone
- (701) 652-3141
- Fax
- (701) 652-3595
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kurt Sargent
- Title
- VP Operational Finance
- Phone
- (701) 237-8064
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 5008P | ND | Primary |
Addresses
Primary practice location
800 4TH St N
Carrington, ND 58421-1217
Mailing address
800 4TH St N
PO Box 461
Carrington, ND 58421-1217
Phone (701) 652-3141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3293 | Other | ND | BC/BS OF ND |
| 1925 | Medicaid | ND |
Other names 1
- CHI St. Alexius Health Carrington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070515000237 | ND | Part A Provider - Critical Access Hospital | 0547177552 | Practice locations: Carrington, ND |
Hospital certification: CCN 35Z318
- Legal name
- CARRINGTON HEALTH CENTER
- Doing business as
- CHI ST ALEXIUS HEALTH CARRINGTON
- Organization structure
- Corporation
- Incorporated
- Jun 30, 1986 in ND
- Enrollment address
- 800 4TH St N
Carrington, ND 58421-1217
Related certifications (CCN) 1
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).
National Provider Directory
National Provider Directory- Tax ID family
- Carrington Health Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Carrington, ND
- NPI 1083775688
-
- Critical Access Hospital
- Carrington, ND
- NPI 1205807013
-
- Institutional Pharmacy
- Carrington, ND
- NPI 1407024896
Locations
3259 Solutions Ctr
Chicago, IL 60677
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kirk Schoepp | Corporate Director | Jan 23, 2020 | |
| Commonspirit Health | 5% Or Greater Direct Ownership Interest | Jul 1, 1999 | 100% |
| Corry Kenner | Corporate Director | Jan 23, 2020 | |
| Mariann K Doeling | Corporate Officer | Oct 1, 2006 | |
| W-2 Managing Employee | Oct 1, 2006 | ||
| Lloyd H Dean | Corporate Officer | Jun 1, 2000 | |
| Michael D Lefor | Corporate Director | May 1, 2016 | |
| Julie Traynor | Corporate Director | Jan 23, 2020 | |
| Kristi Schwartz | Corporate Director | Jan 23, 2020 | |
| Amber G Stowman | Corporate Officer | Aug 12, 2018 | |
| W-2 Managing Employee | Aug 12, 2018 | ||
| Tessa Marburger | Corporate Director | Jan 23, 2020 | |
| Michael Murphy | Corporate Director | Jan 23, 2020 | |
| Curtis Wiesz | Corporate Director | Sep 13, 2021 | |
| Melissa Huhn | Corporate Director | Jan 23, 2020 | |
| Taylor Grundstad | Corporate Director | Jul 1, 2001 | |
| Jennifer J Hoornaert | Corporate Officer | Nov 4, 2008 | |
| W-2 Managing Employee | Nov 4, 2008 | ||
| Lisa Kostelecky | Corporate Director | Jul 1, 2021 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477353600000",
"number": "1255445730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 4TH ST N",
"address_2": "PO BOX 461",
"city": "CARRINGTON",
"state": "ND",
"postal_code": "584211217",
"telephone_number": "701-652-3141",
"fax_number": "701-652-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 4TH ST N",
"city": "CARRINGTON",
"state": "ND",
"postal_code": "584211217",
"telephone_number": "701-652-3141",
"fax_number": "701-652-3595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARRINGTON HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2016-10-25",
"status": "A",
"authorized_official_last_name": "SARGENT",
"authorized_official_first_name": "KURT",
"authorized_official_title_or_position": "VP OPERATIONAL FINANCE",
"authorized_official_telephone_number": "701-237-8064"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "ND",
"license": "5008P",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF ND",
"identifier": "3293",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1925",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHI St. Alexius Health Carrington",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Carrington, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.