NPIMap

Organization Active NPI

St Joseph'S Hospital and Health Center

  • Critical Access Hospital
  • Dickinson, ND
National Provider Identifier
1992947956
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
5054 Issued in ND
Legal business name
ST JOSEPH'S HOSPITAL AND HEALTH CENTER
Practice address
2500 Fairway St
Dickinson, ND 58601
Phone
(701) 456-4000
Fax
(701) 456-4800
NPI assigned
Apr 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Joseph Lawrence Ruark
Title
VP Operational Finance
Phone
(701) 774-7408

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X 5054 ND
Critical Access Hospital 282NC0060X 5054A ND
Critical Access Hospital 282NC0060X 5054 ND Primary

Addresses

Primary practice location

2500 Fairway St
Dickinson, ND 58601

Mailing address

2500 Fairway St
Dickinson, ND 58601
Phone (701) 456-4000

Other identifiers 2

IdentifierTypeStateIssuer
125OtherNDBLUECROSS
1012MedicaidND

Other names 1

  • CHI St Alexius Health Dickinson Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031107000651 ND Part B Supplier - Clinic/Group Practice 0547177560 Receives reassigned benefits from 405 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dickinson, ND; Beach, ND
O20090429000122 ND Part A Provider - Critical Access Hospital 0547177560 Receives reassigned benefits from 336 practitioners
Practice locations: Dickinson, ND

Hospital certification: CCN 351336

Legal name
ST. JOSEPH'S HOSPITAL AND HEALTH CENTER
Doing business as
CHI ST ALEXIUS HEALTH DICKINSON
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2009
Last certification
Apr 28, 2015
Beds
25
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Feb 19, 1919 in ND
Enrollment address
2500 Fairway St
Dickinson, ND 58601-2639
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 6

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

Care Compare: Hospital

Medicare Care Compare
Listed as
CHI St Alexius Health DickinsonCCN 351336
Overall star rating
2 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

3253 Solutions Ctr
Chicago, IL 60677

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Kirk Schoepp Individual Corporate DirectorBoard Jan 23, 2020
Commonspirit Health Organization, Englewood, CO Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1996 100%
Carol G Enderle Individual Corporate OfficerSite President Mar 28, 2022
W-2 Managing EmployeeSite President Mar 28, 2022
Corry Kenner Individual Corporate DirectorBoard Vice Chair Jan 23, 2020
Lloyd H Dean Individual Operational/Managerial ControlCorporate President/Ceo Jun 1, 2000
Michael D Lefor Individual Corporate DirectorBoard May 1, 2016
Julie Traynor Individual Corporate DirectorBoard Sec/Treas Jan 23, 2020
Joseph Ruark Individual Corporate OfficerVP Operational Finance Jul 1, 2017
W-2 Managing Employee Jul 1, 2017
Kristi Schwartz Individual Corporate DirectorBoard Jan 23, 2020
Amber G Stowman Individual Corporate OfficerDiv VP of Op Finance Aug 12, 2018
W-2 Managing EmployeeDiv VP of Op Finance Aug 12, 2018
Tessa Marburger Individual Corporate DirectorBoard Oct 26, 2016
Michael Murphy Individual Corporate DirectorBoard Chair Jan 23, 2020
Curtis Wiesz Individual Corporate DirectorBoard Sep 13, 2021
Melissa Huhn Individual Corporate DirectorBoard Jan 23, 2020
Taylor Grundstad Individual Corporate DirectorBoard Jul 1, 2021
Lisa Kostelecky Individual Corporate DirectorBoard Jul 1, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 371

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 371

Affiliated clinicians 173

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

View all 173

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1992947956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FAIRWAY ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "58601",
            "telephone_number": "701-456-4000",
            "fax_number": "701-456-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FAIRWAY ST",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "58601",
            "telephone_number": "701-456-4000",
            "fax_number": "701-456-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH'S HOSPITAL AND HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "RUARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "VP OPERATIONAL FINANCE",
        "authorized_official_telephone_number": "701-774-7408"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "ND",
            "license": "5054",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ND",
            "license": "5054A",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "ND",
            "license": "5054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS",
            "identifier": "125",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI St Alexius Health Dickinson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickinson, ND

Sources for this page

Verify at the official NPI Registry.