NPIMap

Organization Active NPI

St Aloisius Hospital Inc

Doing business as St Aloisius Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Harvey, ND
National Provider Identifier
1639296007
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
ST ALOISIUS HOSPITAL INC
Doing business as
St Aloisius Medical Center
Practice address
325 Brewster St E
Harvey, ND 58341-1653
Phone
(701) 324-4651
Fax
(170) 132-4687
NPI assigned
Mar 23, 2007
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ST ALOISIUS HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Alfred Sams
Title
Ceo
Phone
(701) 324-4651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

325 Brewster St E
Harvey, ND 58341-1653

Mailing address

325 Brewster St E
Harvey, ND 58341-1653
Phone (701) 324-4651

Other identifiers 3

IdentifierTypeStateIssuer
1454594MedicaidND
35-Z327OtherMEDICARE PTAN
2857OtherBLUE CROSS BLUE SHIELD

Other names 1

  • ST ALOISIUS MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220802004099 ND Part A Provider - Critical Access Hospital 6002802378 Practice locations: Harvey, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639296007. Details of each certification follow.

Hospital certification: CCN 35Z327

Legal name
ST ALOISIUS HOSPITAL, INC.
Doing business as
SMP HEALTH - ST ALOISIUS
Organization structure
CorporationNon-profit
Incorporated
Oct 31, 1948 in ND
Enrollment address
325 Brewster St E
Harvey, ND 58341-1653
Hospital Swing-Bed Unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
St Aloisius Clinic

Locations

609 4th Ave NE
Garrison, ND 58540
Phone (701) 463-2226

402 Brewster St E
Harvey, ND 58341
Phone (701) 324-4651

210 S Main Ave
Rugby, ND 58368
Phone (701) 776-5627

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathy Muscha Individual Corporate Director Jul 1, 2024
Sisters of Mary of the Presentation Health System Organization, Fargo, ND Corporation Operational/Managerial Control Dec 20, 2007
Ryan L Mickelsen Individual Contracted Managing EmployeeAd; Jan 30, 2023
Corporate OfficerCeo Jan 30, 2023
Nicole Anderson Individual Corporate OfficerCfo Jun 1, 2024
Gordon Schmidt Individual Corporate Director Jul 1, 2017
Doug Heil Individual Corporate DirectorDirector Jul 1, 2025
Anne G Picard Individual Corporate Director Jul 1, 2024
Mary Hager Individual Corporate Director Jul 1, 2024
Steven C Kourajian Individual Corporate Director Jul 1, 2024
Debra Berry Individual Corporate Director Sep 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
SMP Health - St. AloisiusHarvey, ND, CCN 358509 Rural health clinic Operational/Managerial Control Aug 3, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1639296007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BREWSTER ST E",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411653",
            "telephone_number": "701-324-4651",
            "fax_number": "170-132-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BREWSTER ST E",
            "city": "HARVEY",
            "state": "ND",
            "postal_code": "583411653",
            "telephone_number": "701-324-4651",
            "fax_number": "170-132-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ALOISIUS HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST ALOISIUS HOSPITAL INC",
        "enumeration_date": "2007-03-23",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "SAMS",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-324-4651"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454594",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "35-Z327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2857",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST ALOISIUS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST ALOISIUS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harvey, ND

Sources for this page

Verify at the official NPI Registry.