NPIMap

Organization Active NPI

Linton Hospital

Doing business as Hazelton Clinic

  • Rural Health Clinic/Center
  • Hazelton, ND
National Provider Identifier
1851317317
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LINTON HOSPITAL
Doing business as
Hazelton Clinic
Practice address
343 Main Street
Hazelton, ND 58544
Phone
(701) 782-4338
NPI assigned
Jul 15, 2006
Last updated
Jan 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
LINTON HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Robert Black
Title
Ceo
Phone
(701) 254-4511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary
General Practice Physician 208D00000X

Addresses

Primary practice location

343 Main Street
Hazelton, ND 58544

Mailing address

343 Main Street
Hazelton, ND 58544
Phone (701) 782-4338

Other names 1

  • Hazelton Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040107000230 ND Part B Supplier - Clinic/Group Practice 5294646345 Receives reassigned benefits from 16 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hazelton, ND; Linton, ND
O20170517001895 ND Part A Provider - Rural Health Clinic 5294646345 Practice locations: Hazelton, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851317317. Details of each certification follow.

Rural health clinic certification: CCN 353462

Legal name
LINTON HOSPITAL
Doing business as
HAZELTON CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 29, 2020
Last certification
Oct 29, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Mar 2, 1948 in ND
Enrollment address
343 Main St
Hazelton, ND 58544-4426
Related CCNs
351328

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D0949374Hazelton Clinic343 Main St, Hazelton, ND 58544Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory
Part of
Linton Medical Center

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Tony R Loggins Individual Operational/Managerial Control Dec 5, 2023
Lukas Fischer Individual Corporate OfficerCeo Jan 1, 2022
Brian Schumacher Individual Corporate Director Jul 31, 2007
Linton Hospital Organization, Linton, ND Corporation, Non-profit Operational/Managerial Control Mar 2, 1967
Sue Meidinger Individual W-2 Managing EmployeeBusiness Office Manager Jan 1, 2022
Alex Bartholomay Individual Operational/Managerial Control Aug 11, 2025
Timothy Volk Individual Corporate Officer Mar 1, 2021
Peter Silbernagel Individual Corporate Officer Apr 1, 2021
Laura Jochim Individual Corporate Director Nov 30, 2015
Sandra Meidinger Individual Corporate Director Nov 1, 2021
Temree Appert Individual Corporate Director Jul 31, 2014

Owners & managing parties with NPI records 6

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
Strasburg Care CenterStrasburg, ND, CCN 355049 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 24, 2023
Jul 15, 2025

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 1

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

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1851317317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 MAIN STREET",
            "city": "HAZELTON",
            "state": "ND",
            "postal_code": "58544",
            "telephone_number": "701-782-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 MAIN STREET",
            "city": "HAZELTON",
            "state": "ND",
            "postal_code": "58544",
            "telephone_number": "701-782-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINTON HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINTON HOSPITAL",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-254-4511"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazelton Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hazelton Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.