| Pembina County Memorial Hospital Association | |
|
301 Mountain St E Cavalier ND 58220-4015 | |
| (701) 265-6307 | |
| Not Available |
| Full Name | Pembina County Memorial Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 301 Mountain St E, Cavalier, North Dakota |
| Authorized Official Name and Position | Lisa R Letexier (CEO) |
| Authorized Official Contact | 7012656228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pembina County Memorial Hospital Association Po Box 380 Cavalier ND 58220-0380 Ph: () - | Pembina County Memorial Hospital Association 301 Mountain St E Cavalier ND 58220-4015 Ph: (701) 265-6307 |
| NPI Number | 1417093949 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 07/25/2022 |
| Medicare PECOS PAC ID | 4789643719 |
|---|---|
| Medicare Enrollment ID | O20041006000441 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417093949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Heidi L Andruski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881780146 PECOS PAC ID: 6406835859 Enrollment ID: I20040719000585 |
| Provider Name | Kulvinder S Sumra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184760274 PECOS PAC ID: 0244423564 Enrollment ID: I20110127000309 |
| Provider Name | Susan J Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245327899 PECOS PAC ID: 2062696917 Enrollment ID: I20110418000668 |
| Provider Name | Kaci Sharp |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1316311582 PECOS PAC ID: 1052614807 Enrollment ID: I20160128000805 |
| Provider Name | Kimberly Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205366788 PECOS PAC ID: 5496029340 Enrollment ID: I20170915003185 |
| Provider Name | Heather Nicole Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710487004 PECOS PAC ID: 5890050413 Enrollment ID: I20180601001541 |
| Provider Name | Jenna Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609352657 PECOS PAC ID: 5395094593 Enrollment ID: I20180821003908 |
| Provider Name | Andrew T Babcock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1609134436 PECOS PAC ID: 3870898992 Enrollment ID: I20210803003582 |
| Provider Name | Michael J Bittles |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558457713 PECOS PAC ID: 7416947122 Enrollment ID: I20231102001111 |
| Provider Name | Amber Dawn Deere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912483397 PECOS PAC ID: 0345590196 Enrollment ID: I20240328004064 |