Provider Demographics
NPI:1477724433
Name:OAKES COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:OAKES COMMUNITY HOSPITAL
Other - Org Name:CHI OAKES HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:BECKI
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-742-3639
Mailing Address - Street 1:1200 NORTH 7TH STREET
Mailing Address - Street 2:
Mailing Address - City:OAKES
Mailing Address - State:ND
Mailing Address - Zip Code:58474-2502
Mailing Address - Country:US
Mailing Address - Phone:701-742-3291
Mailing Address - Fax:701-742-3639
Practice Address - Street 1:1200 N 7TH ST
Practice Address - Street 2:
Practice Address - City:OAKES
Practice Address - State:ND
Practice Address - Zip Code:58474-2502
Practice Address - Country:US
Practice Address - Phone:701-742-3291
Practice Address - Fax:701-742-3639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5041A207P00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1460043Medicaid
NDN71031Medicare PIN