Active NPI
Scci Hospitals of America Inc.
- Long Term Care Hospital
- Fargo, ND
National Provider Identifier
1609852136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 5065A
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1238 | Medicaid | ND | |
| 4B0HSP | Other | MN | BLUE CROSS |
| 1369 | Medicaid | ND |
Other names 1
- Kindred Hospital Fargo
National Provider Directory
National Provider DirectoryMember 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.