MEDICARE: SCCI HOSPITALS OF AMERICA INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282E00000X	Long Term Care Hospital	5065A	ND

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	4B0HSP	OTHER	MN	BLUE CROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609852136
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCCI HOSPITALS OF AMERICA INC.

Provider Business Mailing Address
First Line	:	680 S 4TH ST
Second Line	:	K-LIVE 5 REIMBURSEMENT
City	:	LOUISVILLE
State	:	KY
Zip	:	40202-2407
Country	:	US
Telephone Number	:	502-596-7300
Fax Number	:	502-596-4134

Provider Business Practice Location Address
First Line	:	1720 UNIVERSITY DR S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58103-4940
Country	:	US
Telephone Number	:	701-241-9099
Fax Number	:	701-241-9332

Authorized Official
Title or Position	:	SR. VP OF REIMBURSEMENT
Name	:	MR. ARTHUR L. ROTHGERBER
Credential	:
Telephone Number	:	502-596-7300

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	11/10/2016

Similar Medicare Providers

1427989482 — ALEXANDER BERGESON MD
Practice Location Address:

1720 UNIVERSITY DR S
FARGO, ND
58103-4940

Practice Phone: 701-234-5933
Practice Fax: 701-234-7230

1801811971 — DR. MICHAEL STEVEN KRUGER M.D.
Practice Location Address:

1720 UNIVERSITY DR S
FARGO, ND
58103-4940

Practice Phone: 701-234-2000
Practice Fax:

1558895664 — MADALYN MULDOON
Practice Location Address:

1720 UNIVERSITY DR S
FARGO, ND
58103-4940

Practice Phone: 701-234-2000
Practice Fax: 701-234-4938

1245223023 — KIMBERLY RAE KELLY MD
Practice Location Address:

1702 UNIVERSITY DR S
FARGO, ND
58103-4940

Practice Phone: 701-364-3300
Practice Fax: 701-364-8906

1639169675 — DR. BASSIM KOBROSSY M.D.
Practice Location Address:

1702 UNIVERSITY DR S
FARGO, ND
58103-4940

Practice Phone: 701-364-3300
Practice Fax: 701-536-4189

1740270339 — MRS. MARIA LOUISE BALINTONA LICSW
Practice Location Address:

1702 UNIVERSITY DR S
FARGO, ND
58103-4940

Practice Phone: 701-364-3300
Practice Fax: 701-364-8906

Directions to “SCCI HOSPITALS OF AMERICA INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.