Northwood Deaconess Health Center
Organization Active NPI Critical Access Hospital · Northwood, ND
NPI 1356449136 · NPPES record last updated May 27, 2025
Key facts
- NPI
- 1356449136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 5040P (ND)
- Legal business name
- NORTHWOOD DEACONESS HEALTH CENTER
- Practice address
- 4 North Park St
Northwood, ND 58267-0190 - Phone
- (701) 587-6060
- Fax
- (701) 587-6492
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Brock Sherva
- Title
- Ceo
- Phone
- (701) 587-6060
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 5
Other NPIs with the same Medicare PAC ID 3
Related certifications (CCN) 3
Practitioners 24
-
Jonathon H Berg, MD
-
Erik Charles Burke, FNP-C
-
Ciara Johnson, M.D.
-
Condetta Ness, FNP-C
-
Michael J Page, MD
-
Erika Stein, MD
-
Darcy Amanda Wiebrand, LCSW-PIP
-
Gina Grace Wrightsman, FNP-C
-
Larissa Ann Haug, PA
-
Jeanmarie Clara Huot, PA-C
-
Jay R Metzger, PA
-
Kayla L Olson, PA-C
-
Elizabeth Sandberg, FNP-C
-
Heidi L Andruski, CRNA
-
Liana Rae Madsen, APRN, CRNA
-
James Martin Metzger, CRNA
-
Timothy Patrick Overend, CRNA
-
Alicia Marjorie Wolfgram, CRNA
-
Lee Allen Ellingson, CRNA
-
Sherree Lee Engen, C.R.N.A.
-
Vanessa Sundeen, FNP-C
-
Brian Twete, FNP-C
Affiliated clinicians 39
-
Jonathon H Berg, MD
-
Ashley Black, PA-C
-
Christina Nicole Brooks, PA-C
-
Erik Charles Burke, FNP-C
-
Seth Thomas Dorman, FNP-C
-
Qin Du, MD
-
Tammie J. Harder, PA-C
-
Larissa Ann Haug, PA
-
Renae Dawn Heider, FNP-C
-
Jeanmarie Clara Huot, PA-C
-
Ciara Johnson, M.D.
-
Joel J Johnson, M.D.
-
Michael Steven Kruger, M.D.
-
Stephen Todd Malutich, D.O.
-
Margot Estelle Miller, NP-C
-
Erin Mondry, PA-C
-
Condetta Ness, FNP-C
-
William Richard Noyes, M.D.
-
Kayla L Olson, PA-C
-
Jane Ostlie, MD
-
Michael J Page, MD
-
Anil Potti, MD
Medicare Care Compare: Hospital
- Listed as
- Northwood Deaconess Health Center
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Church
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND
Hospital certification: CCN 351312
- Legal name
- NORTHWOOD DEACONESS HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Jan 1, 2001
- Last certification
- Jan 25, 2023
- Beds
- 7
- Ownership / control type
- Church
- Organization structure
- Other · Non-profit
- Incorporated
- Jan 1, 1956 in ND
- Enrollment address
- 4 N Park St
Northwood, ND 58267-4102
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Brock Sherva |
Contracted Managing Employee |
Jan 1, 2023 | |
| Corporate Officer |
Jan 1, 2023 | ||
| Corporate Director |
Jan 1, 2023 | ||
| Operational/Managerial Control |
Jan 1, 2023 | ||
| Robert Bilden |
Corporate Director | Mar 26, 2008 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Northwood Deaconess Health Center |
Hospital | Operational/Managerial Control | Jan 1, 1990 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040226000123 | ND | Part B Supplier - Clinic/Group Practice | 1052207057 |
Receives reassigned benefits from 22 practitioners 5 other NPIs on this enrollment Practice locations: Northwood, ND |
| O20061104000683 | ND | Part a Provider - Critical Access Hospital | 1052207057 |
Receives reassigned benefits from 17 practitioners Practice locations: Northwood, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 5040P | ND | Yes |
| Clinical Medical Laboratory | 291U00000X | 35D0684526 | ND | |
| Ambulance | 341600000X |
Addresses
Primary practice location
4 North Park St
Northwood, ND 58267-0190
Mailing address
PO Box 190
Northwood, ND 58267-0190
Phone (701) 587-6060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11827 | Medicaid | ND | |
| 623348100 | Medicaid | MN | |
| D01045 | Medicaid | ND | |
| 0174 | Other | ND | BCBS |
| 1000064 | Other | MEDICARE PART B |
Other providers in Northwood, ND
- 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
- Pharmacists Associates LLC
- Anita Sanda
- Elizabeth Sandberg
All providers in Northwood, ND · Critical Access Hospital in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.