NPIMap

Organization Active NPI

St. Alexius Medical Center

Doing business as CHI St. Alexius Health

  • Community Based Hospice Care Agency
  • Bismarck, ND
National Provider Identifier
1609938661
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
6011 Issued in ND
Legal business name
ST. ALEXIUS MEDICAL CENTER
Doing business as
CHI St. Alexius Health
Practice address
1212 E Main Ave
Bismarck, ND 58501
Phone
(701) 530-4500
Fax
(701) 530-4572
NPI assigned
Dec 15, 2006
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Paul Morris
Title
Cfo
Phone
(701) 530-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 6011 ND Primary

Addresses

Primary practice location

1212 E Main Ave
Bismarck, ND 58501

Mailing address

1212 E. Main Ave
Bismarck, ND 58502
Phone (701) 530-4500

Other identifiers 1

IdentifierTypeStateIssuer
1453818MedicaidND

Other names 1

  • CHI St. Alexius Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
CHI Health Connect at Home - Fargo18 organizations share this tax ID, including this one
Part of
Catholic Health Initiatives

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

1212 E Main Ave
Bismarck, ND 58501
Phone (701) 530-4000

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Oct 1, 2016 Change of OwnershipThis provider was the seller CHI Health at HomeCCN 351506, ND, NPI 1841647542

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1609938661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 E. MAIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58502",
            "telephone_number": "701-530-4500",
            "fax_number": "701-530-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E MAIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-530-4500",
            "fax_number": "701-530-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ALEXIUS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2006-12-15",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-530-7000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "ND",
            "license": "6011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1453818",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI St. Alexius Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.