NPIMap

Organization Active NPI

St. Andrew's Hospital

Doing business as SMP Health - St. Andrew's

  • General Acute Care Hospital
  • Bottineau, ND
National Provider Identifier
1306903331
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ST. ANDREW'S HOSPITAL
Doing business as
SMP Health - St. Andrew's
St. Andrew's Health Center
Practice address
316 Ohmer St
Bottineau, ND 58318-1045
Phone
(701) 228-9300
NPI assigned
Jan 2, 2007
Last updated
Dec 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Mrs. Brenda Arneson
Title
Human Resource Director
Phone
(701) 228-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

316 Ohmer St
Bottineau, ND 58318-1045

Mailing address

316 Ohmer St
Bottineau, ND 58318-1045
Phone (701) 228-9300

Other identifiers 1

IdentifierTypeStateIssuer
43001OtherNDPROFESSIONAL FEE

Other names 2

  • SMP Health - St. Andrew's Doing business as
  • St. Andrew's Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160107002139 ND Part B Supplier - Hospital Department(S) 4880505999 Receives reassigned benefits from 33 practitioners
Practice locations: Bottineau, ND

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

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
SMP Health - St. Andrew'sBottineau, ND, CCN 358508 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 30, 2020

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1306903331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 OHMER ST",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181045",
            "telephone_number": "701-228-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 OHMER ST",
            "city": "BOTTINEAU",
            "state": "ND",
            "postal_code": "583181045",
            "telephone_number": "701-228-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANDREW'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "ARNESON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "HUMAN RESOURCE DIRECTOR",
        "authorized_official_telephone_number": "701-228-9300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL FEE",
            "identifier": "43001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMP Health - St. Andrew's",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Andrew's Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Andrew's Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bottineau, ND

Sources for this page

Verify at the official NPI Registry.