NPIMap

Organization Active NPI

St. Alexius Medical Center

Doing business as CHI St. Alexius Health

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dickinson, ND
National Provider Identifier
1861553844
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
5004 Issued in ND
Legal business name
ST. ALEXIUS MEDICAL CENTER
Doing business as
CHI St. Alexius Health
Practice address
2500 Fairway St
Dickinson, ND 58601-2639
Phone
(701) 456-4616
Fax
(701) 456-4803
NPI assigned
Dec 13, 2006
Last updated
May 9, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Paul Morris
Title
Cfo
Phone
(701) 530-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 5004 ND Primary

Addresses

Primary practice location

2500 Fairway St
Dickinson, ND 58601-2639

Mailing address

PO Box 5510
Bismarck, ND 58506-5510
Phone (701) 530-7000

Other identifiers 1

IdentifierTypeStateIssuer
1460486MedicaidND

Other names 1

  • CHI St. Alexius Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000854 ND Part A Provider - End-Stage Renal Disease Facility (ESRD) 8426960865 Practice locations: Dickinson, ND

Other NPIs with the same Medicare PAC ID 11

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
CHI St Alexius Health - Dickinson DialysisCCN 353501
Overall star rating
3.0 of 5
Ownership
Non-profit
Certified
Mar 14, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
8

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Home Health Care Inc16 organizations share this tax ID, including this one
Part of
Catholic Health Initiatives

Other organizations with this tax ID 15

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

View all 15

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Garrison Memorial HospitalGarrison, ND, CCN 351303 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1997
CHI St. Alexius Health GarrisonGarrison, ND, CCN 35Z303 Hospital 5% Or Greater Direct Ownership Interest (100%) Nov 1, 1990
CHI St. Alexius Health Turtle LakeTurtle Lake, ND, CCN 351304 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1990
Jul 1, 1990
CHI St. Alexius Health Turtle LakeTurtle Lake, ND, CCN 35Z304 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 30, 1990
Jul 30, 1990
Garrison Memorial HospitalGarrison, ND, CCN 355115 Skilled nursing facility 5% Or Greater Direct Ownership Interest Jun 22, 1998
Garrison Family ClinicGarrison, ND, CCN 353412 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1997
Commonspirit HealthWashburn, ND, CCN 353434 Rural health clinic 5% Or Greater Direct Ownership Interest (90%)
Operational/Managerial Control (100%)		 Jun 30, 1999
Jun 30, 1999

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1861553844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5510",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585065510",
            "telephone_number": "701-530-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FAIRWAY ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586012639",
            "telephone_number": "701-456-4616",
            "fax_number": "701-456-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ALEXIUS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2006-12-13",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-530-7000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "ND",
            "license": "5004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1460486",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI St. Alexius Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickinson, ND

Sources for this page

Verify at the official NPI Registry.