Provider Demographics
NPI:1558389338
Name:CARRINGTON HEALTH CENTER
Entity Type:Organization
Organization Name:CARRINGTON HEALTH CENTER
Other - Org Name:CHI ST. ALEXIUS HEALTH CARRINGTON MEDICAL CLINIC & URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OPERATIONAL FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:KURT
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-237-8064
Mailing Address - Street 1:820 5TH ST N
Mailing Address - Street 2:PO BOX 79
Mailing Address - City:CARRINGTON
Mailing Address - State:ND
Mailing Address - Zip Code:58421-1223
Mailing Address - Country:US
Mailing Address - Phone:701-652-2515
Mailing Address - Fax:701-652-3595
Practice Address - Street 1:820 5TH ST N
Practice Address - Street 2:
Practice Address - City:CARRINGTON
Practice Address - State:ND
Practice Address - Zip Code:58421
Practice Address - Country:US
Practice Address - Phone:701-652-2515
Practice Address - Fax:701-652-3595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND207Q00000X
ND5008261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND17052Medicaid
ND507-001OtherNRH BC/BS OF ND
ND5041Medicaid
ND8987OtherBC/BS OF ND
NDN70421Medicare PIN
ND5041Medicaid