NPIMap

Organization Active NPI

Southwest Healthcare Services

  • Assisted Living Facility
  • Bowman, ND
National Provider Identifier
1831851146
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SOUTHWEST HEALTHCARE SERVICES
Practice address
802 2ND St NW
Bowman, ND 58623-4483
Phone
(701) 523-5555
NPI assigned
Oct 13, 2021
Last updated
Oct 13, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST HEALTHCARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Tina M Marmon
Title
Business Manager
Phone
(701) 523-7150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

802 2ND St NW
Bowman, ND 58623-4483

Mailing address

802 2ND St NW
Bowman, ND 58623-4483
Phone (701) 523-5555

Other names 1

  • Basic Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Southwest Healthcare Serv7 organizations share this tax ID, including this one
Part of
Southwest Healthcare Serv

Other organizations with this tax ID 6

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

Locations

802 2nd St NW
Bowman, ND 58623
Phone (701) 523-3214

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1831851146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 2ND ST NW",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234483",
            "telephone_number": "701-523-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 2ND ST NW",
            "city": "BOWMAN",
            "state": "ND",
            "postal_code": "586234483",
            "telephone_number": "701-523-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST HEALTHCARE SERVICES",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "MARMON",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "701-523-7150"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Basic Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Basic Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bowman, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.