Healthcare Provider Details

I. General information

NPI: 1225109762
Provider Name (Legal Business Name): OAKES COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 02/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N 7TH ST
OAKES ND
58474-2502
US

IV. Provider business mailing address

1200 N 7TH ST
OAKES ND
58474-2502
US

V. Phone/Fax

Practice location:
  • Phone: 701-742-3291
  • Fax: 701-742-3639
Mailing address:
  • Phone: 701-742-3291
  • Fax: 701-742-3639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number5041A
License Number StateND
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: BECKI LYNN THOMPSON
Title or Position: PRESIDENT/ADMIN
Credential:
Phone: 701-742-3639