Active NPI
St. Alexius Medical Center
- Certified Registered Nurse Anesthetist
- Bismarck, ND
National Provider Identifier
1629121074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- ST. ALEXIUS MEDICAL CENTER
- Practice address
- 900 E Broadway Ave
Bismarck, ND 58501 - Phone
- (701) 530-7000
- NPI assigned
- Jan 19, 2007
- Last updated
- May 17, 2018
- Organization subpart
- Yes
- Parent organization
- CATHOLIC HEALTH INITIATIVES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Scott Banks
- Title
- Cfo
- Phone
- (701) 530-7000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NU | Primary | |
| Registered Dietitian | 133V00000X | NU |
Addresses
Primary practice location
900 E Broadway Ave
Bismarck, ND 58501
Mailing address
PO Box 5510
Bismarck, ND 58506-5510
Phone (701) 530-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1459154 | Medicaid | ND |
Other names 1
- CHI St. Alexius Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031104000146 | ND | Part B Supplier - Clinic/Group Practice | 8426960865 |
Receives reassigned benefits from 654 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bismarck, ND; Mandan, ND; Minot, ND; Turtle Lake, ND; Washburn, ND |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba CHI St. Alexius Health Turtle Lake
- Critical Access Hospital
- Turtle Lake, ND
- NPI 1013961820
O20031104000146
-
dba CHI St. Alexius Health Clinics
- Specialist
- Bismarck, ND
- NPI 1205868429
O20031104000146
National Provider Directory
National Provider Directory- Part of
- Catholic Health Initiatives
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Certified Registered Nurse Anesthetist
- Bismarck, ND
- NPI 1982757449
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bismarck, ND
- NPI 1932597770
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bismarck, ND
- NPI 1023161585
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bismarck, ND
- NPI 1063457000
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bismarck, ND
- NPI 1205133873
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bismarck, ND
- NPI 1487741484
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bismarck, ND
- NPI 1639222110
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bismarck, ND
- NPI 1720228448
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bismarck, ND
- NPI 1639251143
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hazen, ND
- NPI 1902227283
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Bismarck, ND
- NPI 1285788927
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526515200000",
"number": "1629121074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5510",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585065510",
"telephone_number": "701-530-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E BROADWAY AVE",
"city": "BISMARCK",
"state": "ND",
"postal_code": "58501",
"telephone_number": "701-530-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. ALEXIUS MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
"enumeration_date": "2007-01-19",
"last_updated": "2018-05-17",
"status": "A",
"authorized_official_last_name": "BANKS",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "701-530-7000"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1459154",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHI St. Alexius Health",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "CHI St. Alexius Health",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Bismarck, ND
- St. Alexius Medical Center (CHI St. Alexius Health)
- St. Alexius Medical Center (St. Alexius Community Pharmacy)
- St. Alexius Medical Center (CHI St. Alexius Health)
- St. Alexius Medical Center (CHI St. Alexius Health)
- St. Alexius Medical Center (CHI St. Alexius Health)
- St. Alexius Medical Center (Great Plains Rehabilitation Services)
- St. Alexius Medical Center (CHI St. Alexius Health)
- St. Alexius Medical Center Pharmacy
- Christine Ann Staab, C.R.PH TECH
- Annette Jolene Staael
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.