St. Luke'S Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

353436 Issued in ND

Legal business name

ST. LUKE'S HOSPITAL

Practice address

24 Main St. SW #B
Bowbells, ND 58721

Phone

(701) 377-6400

Fax

(701) 377-6400

NPI assigned

Aug 11, 2006

Organization subpart

No

Name

Keith Baker

Title

Assistant Administrator

Phone

(701) 965-6349

• Bowbells Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477565406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C",
            "city": "CROSBY",
            "state": "ND",
            "postal_code": "587300658",
            "telephone_number": "701-965-6349",
            "fax_number": "701-965-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MAIN ST. SW #B",
            "city": "BOWBELLS",
            "state": "ND",
            "postal_code": "58721",
            "telephone_number": "701-377-6400",
            "fax_number": "701-377-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "701-965-6349"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "ND",
            "license": "353436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA BLUE CROSS",
            "identifier": "12138",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5142",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bowbells Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Savannah Baltrusch
• Bowbells Ambulance Service
• Burke County Social Services
• Shelley Jean Jacobson
• Northland Health Centers

• All providers in Bowbells, ND
• Rural Health Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.