County of Pembina

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

29 Issued in ND

Legal business name

COUNTY OF PEMBINA

Practice address

301 Dakota St W Unit 2
Cavalier, ND 58220-4100

Phone

(701) 265-4248

Fax

(701) 265-5193

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Julie K Hardy, RN

Title

Director / Administrator

Phone

(701) 265-4248

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pembina County Health Other name

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Pembina County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pembina County

  • Case Management Agency
  • Cavalier, ND
  • NPI 1356752935
  NPD tax ID

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1801995402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 DAKOTA ST W UNIT 2",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582204100",
            "telephone_number": "701-265-4248",
            "fax_number": "701-265-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 DAKOTA ST W UNIT 2",
            "city": "CAVALIER",
            "state": "ND",
            "postal_code": "582204100",
            "telephone_number": "701-265-4248",
            "fax_number": "701-265-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF PEMBINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR / ADMINISTRATOR",
        "authorized_official_telephone_number": "701-265-4248",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ND",
            "license": "29",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "4560002230",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pembina County Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cavalier Optometry Clinic LTD
• Tami Christianson-Larson, M.S., CCC, SLP
• Selmer Meredith Clark, OD
• Alexandria Elaine Connin
• Landon Makall Connin
• Sharon A Cummings, PHYSICAL THERAPIST
• Jill Elaine Denault
• Laura Dawn Ermer, PA-C
• Kimberly Ford, NURSE PRACTITIONER
• Rose M Greb, R.PH.

• All providers in Cavalier, ND
• Public Health or Welfare Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.