NPIMap

Organization Active NPI

Towner County Medical Center Inc

Doing business as Towner County Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Cando, ND
National Provider Identifier
1386665826
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
TOWNER COUNTY MEDICAL CENTER INC
Doing business as
Towner County Medical Center
Practice address
228 1St Ave
Cando, ND 58324-7500
Phone
(701) 968-2541
NPI assigned
Jul 21, 2006
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TOWNER COUNTY MEDICAL CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Tammy L Larson
Title
Cfo
Phone
(701) 968-2560

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X ND Primary
Skilled Nursing Facility 314000000X ND

Addresses

Primary practice location

228 1St Ave
Cando, ND 58324-7500

Mailing address

PO Box 688
Cando, ND 58324-0688
Phone (701) 968-2556

Other practice location 1

7448 Highway 281
Cando, ND 58324-9202
Phone (701) 968-2541

Other identifiers 3

IdentifierTypeStateIssuer
1923MedicaidND
3194OtherNDBCBS
35U014OtherNDMEDICARE

Other names 1

  • TOWNER COUNTY MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070420000135 ND Part A Provider - Critical Access Hospital 6800798497 Practice locations: Cando, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386665826. Details of each certification follow.

Hospital certification: CCN 35Z331

Legal name
TOWNER COUNTY MEDICAL CENTER INC
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1993 in ND
Enrollment address
7448 Highway 281
Cando, ND 58324-9202
Hospital Swing-Bed Unit

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
Towner County Medical Ctr6 organizations share this tax ID, including this one
Part of
Towner County Medical Ctr

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
John Peters Individual Corporate Director Nov 1, 2012 100%
Timothy J Kennedy Individual Contracted Managing Employee Mar 12, 2007
Corporate Director Mar 12, 2007
Michael Farbo Individual Corporate Director Nov 1, 2010 100%
Tammy Larson Individual Corporate Director Mar 3, 2008
W-2 Managing Employee Mar 3, 2008
Eugene Nicholas Individual Corporate Director Mar 12, 2007
Terry Jorde Individual Corporate Director Mar 12, 2007
Randina Bjornstad Individual Corporate Director Nov 1, 2014 100%
Towner County Medical Center Inc Organization, Cando, ND Corporation, Non-profit Operational/Managerial Control Sep 1, 1993
Joann Rodenbiker Individual Corporate Director Mar 12, 2007
Michelle Gibbens Individual Corporate Director Aug 26, 2020 100%
Ben J Bucher Individual Corporate OfficerCeo Mar 15, 2015 100%
Jac M McTaggart Individual W-2 Managing Employee Sep 1, 2008
Thomas Belzer Individual Corporate Director Oct 26, 2005 100%
Gregory Westlind Individual Corporate Director Oct 26, 2005 100%
David Wolsky Individual Operational/Managerial ControlGoverning Board President Jan 21, 2008 100%

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1386665826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "CANDO",
            "state": "ND",
            "postal_code": "583240688",
            "telephone_number": "701-968-2556",
            "fax_number": "701-968-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 1ST AVE",
            "city": "CANDO",
            "state": "ND",
            "postal_code": "583247500",
            "telephone_number": "701-968-2541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7448 Highway 281",
            "address_purpose": "LOCATION",
            "city": "Cando",
            "state": "ND",
            "postal_code": "583249202",
            "country_code": "US",
            "telephone_number": "701-968-2541",
            "fax_number": "701-968-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOWNER COUNTY MEDICAL CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWNER COUNTY MEDICAL CENTER INC",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-968-2560"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "ND",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1923",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3194",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "35U014",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWNER COUNTY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TOWNER COUNTY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cando, ND

Sources for this page

Verify at the official NPI Registry.