Provider Demographics
NPI:1861669939
Name:UNION HOSPITAL
Entity Type:Organization
Organization Name:UNION HOSPITAL
Other - Org Name:MERITCARE MAYVILLE UNION HOSPITAL FINLEY CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-788-3800
Mailing Address - Street 1:42 6TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:MAYVILLE
Mailing Address - State:ND
Mailing Address - Zip Code:58257-1506
Mailing Address - Country:US
Mailing Address - Phone:701-788-3800
Mailing Address - Fax:
Practice Address - Street 1:407 WASHINGTON AVE E
Practice Address - Street 2:
Practice Address - City:FINLEY
Practice Address - State:ND
Practice Address - Zip Code:58230
Practice Address - Country:US
Practice Address - Phone:701-788-3800
Practice Address - Fax:701-788-2145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-08
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5034P261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDN70722Medicare Oscar/Certification