Active NPI
Medcenter One
- General Acute Care Hospital
- Mandan, ND
National Provider Identifier
1396936142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 1457
- Legal business name
- MEDCENTER ONE
- Practice address
- 910 18TH St NW
Mandan, ND 58554-1612 - Phone
- (701) 323-8400
- Fax
- (701) 323-8409
- NPI assigned
- Aug 7, 2007
- Last updated
- Aug 7, 2007
- 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
- James Cooper
- Title
- Ceo
- Phone
- (701) 323-6104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1457 | ND | Primary |
Addresses
Primary practice location
910 18TH St NW
Mandan, ND 58554-1612
Mailing address
910 18TH St NW
Mandan, ND 58554-1612
Phone (701) 323-8400
National Provider Directory
National Provider Directory- Tax ID family
- Med Center One Inc
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186444800000",
"number": "1396936142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 18TH ST NW",
"city": "MANDAN",
"state": "ND",
"postal_code": "585541612",
"telephone_number": "701-323-8400",
"fax_number": "701-323-8409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 18TH ST NW",
"city": "MANDAN",
"state": "ND",
"postal_code": "585541612",
"telephone_number": "701-323-8400",
"fax_number": "701-323-8409"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDCENTER ONE",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "701-323-6104"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "ND",
"license": "1457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.