Provider Demographics
NPI:1245216852
Name:CHRISTIAN UNITY HOSPITAL CORPORATION
Entity type:Organization
Organization Name:CHRISTIAN UNITY HOSPITAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-352-1620
Mailing Address - Street 1:164 W 13TH STREET
Mailing Address - Street 2:UNITY MEDICAL CENTER
Mailing Address - City:GRAFTON
Mailing Address - State:ND
Mailing Address - Zip Code:58237-1896
Mailing Address - Country:US
Mailing Address - Phone:701-352-1620
Mailing Address - Fax:701-352-1671
Practice Address - Street 1:164 W 13TH STREET
Practice Address - Street 2:UNITY MEDICAL CENTER
Practice Address - City:GRAFTON
Practice Address - State:ND
Practice Address - Zip Code:58237-1896
Practice Address - Country:US
Practice Address - Phone:701-352-1620
Practice Address - Fax:701-352-1671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-16
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5020A282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1230Medicaid
ND000927OtherBCBS ND
ND000927OtherBCBS ND
ND351320Medicare Oscar/Certification