Cooperstown Medical Center
General Acute Care Hospital, Critical Access in Cooperstown, ND. Organization (NPI-2).
NPI number1235239229
StatusActive
Last updated in NPPESAug 29, 2023
Details
- NPI
- 1235239229
- Entity type
- Organization (NPI-2)
- Legal business name
- Cooperstown Medical Center
- Organization subpart
- Yes
- Enumeration date
- Sep 22, 2006
- Certification date
- Aug 29, 2023
- Last updated
- Aug 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 282NC0060X | General Acute Care Hospital, Critical Access | 5010P | ND | Yes |
Other names
- Dakota Regional Medical Center (Doing Business As)
- Cooperstown Medical Center Critical Access Hospital (Doing Business As)
Practice location
107 12th St SCooperstown, ND 58425-4501
Phone 701-786-1700 · Fax 701-786-7121
Mailing address
107 12th St SCooperstown, ND 58425-4501
Phone 701-786-1700 · Fax 701-786-7121
Authorized official
Kelley Shawn
Admin Assistant/Credentialing
7017861709
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