NPIMap

Organization Active NPI

Presentation Medical Center

  • Critical Access Hospital
  • Rolla, ND
National Provider Identifier
1699166736
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
5045 Issued in ND
Legal business name
PRESENTATION MEDICAL CENTER
Practice address
213 2ND Ave NE
Rolla, ND 58367-7153
Phone
(701) 477-3161
Fax
(701) 477-5564
NPI assigned
Feb 11, 2015
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Paula J Wilkie
Title
Cfo
Phone
(701) 477-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 5045 ND Primary

Addresses

Primary practice location

213 2ND Ave NE
Rolla, ND 58367-7153

Mailing address

213 2ND Ave NE
PO Box 759
Rolla, ND 58367-7153
Phone (701) 477-3161

Other identifiers 1

IdentifierTypeStateIssuer
020925MedicaidND

Other names 1

  • Presentation Pharmacy Other name

National Provider Directory

National Provider Directory
Tax ID family
Presentation Medical C5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1699166736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 2ND AVE NE",
            "address_2": "PO BOX 759",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583677153",
            "telephone_number": "701-477-3161",
            "fax_number": "701-477-5564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 2ND AVE NE",
            "city": "ROLLA",
            "state": "ND",
            "postal_code": "583677153",
            "telephone_number": "701-477-3161",
            "fax_number": "701-477-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENTATION MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "WILKIE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-477-3161"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ND",
            "license": "5045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020925",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presentation Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rolla, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.