Organization Active NPI

Scci Hospitals of America Inc.

  • Long Term Care Hospital
  • Fargo, ND
National Provider Identifier
1609852136
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
5065A Issued in ND
Legal business name
SCCI HOSPITALS OF AMERICA INC.
Doing business as
Kindred Hospital Fargo
Practice address
1720 University Dr S
Fargo, ND 58103-4940
Phone
(701) 241-9099
Fax
(701) 241-9332
NPI assigned
Dec 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Mr. Arthur L. Rothgerber
Title
Sr. VP of Reimbursement
Phone
(502) 596-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 5065A ND Primary

Addresses

Primary practice location

1720 University Dr S
Fargo, ND 58103-4940

Mailing address

680 S 4TH St
K-Live 5 Reimbursement
Louisville, KY 40202-2407
Phone (502) 596-7300

Other identifiers 3

IdentifierTypeStateIssuer
1238MedicaidND
4B0HSPOtherMNBLUE CROSS
1369MedicaidND

Other names 1

  • Kindred Hospital Fargo Doing business as

National Provider Directory

National Provider Directory

Member of 2

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

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1609852136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "address_2": "K-LIVE 5 REIMBURSEMENT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7300",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 UNIVERSITY DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581034940",
            "telephone_number": "701-241-9099",
            "fax_number": "701-241-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCCI HOSPITALS OF AMERICA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "ROTHGERBER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SR. VP OF REIMBURSEMENT",
        "authorized_official_telephone_number": "502-596-7300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "ND",
            "license": "5065A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1238",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4B0HSP",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1369",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital Fargo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fargo, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.