St Luke's Hospital

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

353430 Issued in ND

Legal business name

ST LUKE'S HOSPITAL

Doing business as

Lignite Clinic

Practice address

115 Main St.
Lignite, ND 58752

Phone

(701) 933-2220

Fax

(701) 933-2220

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Baker

Title

Assistant Administrator

Phone

(701) 965-6349

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lignite Clinic Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Luke's Hospital

  • Critical Access Hospital
  • Crosby, ND
  • NPI 1215942032

  Member Of

  NPD member

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578575502",
    "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": "701-933-2220",
            "fax_number": "701-933-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST.",
            "city": "LIGNITE",
            "state": "ND",
            "postal_code": "58752",
            "telephone_number": "701-933-2220",
            "fax_number": "701-933-2220"
        }
    ],
    "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": "353430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH DAKOTA MEDICAID",
            "identifier": "11726",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5126",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lignite Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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.