Ashley Medical Center
Organization Active NPI Clinic/Center · Kulm, ND
NPI 1659333425 · NPPES record last updated Jul 24, 2008
Key facts
- NPI
- 1659333425
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- ASHLEY MEDICAL CENTER
- Practice address
- 4 1St Ave SE
Kulm, ND 58456-7221 - Phone
- (701) 647-2722
- Fax
- (701) 647-2722
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathleen Hoeft
- Title
- Ceo
- Phone
- (701) 288-3433
Other NPIs on the same Medicare enrollment 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040423001213 | ND | Part B Supplier - Clinic/Group Practice | 8628981834 |
Receives reassigned benefits from 16 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Ashley, ND; Zeeland, ND |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
4 1St Ave SE
Kulm, ND 58456-7221
Mailing address
612 Center Ave N
PO Box 450
Ashley, ND 58413-7013
Phone (701) 288-3433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125002 | Other | ND | AMC KULM CLINIC |
| 016578 | Medicaid | ND |
Other names
- AMC Kulm Clinic
Other providers in Kulm, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.