Organization
COOPERSTOWN MEDICAL CENTER
Active
Parent organization
COOPERSTOWN MEDICAL CENTER
Other names
Cooperstown Medical Center Nursing Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
COOPERSTOWN MEDICAL CENTER
Authorized official
GREGORY STOMP RN, LNHA (ADMINISTRATOR/CEO)
(701) 797-2221
Entity
Organization
Contact information
Practice address
1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425-7101
(701) 797-2221
Mailing address
1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425-7101
(701) 797-2221
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1012A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107
BLUE CROSS BLUE SHIELD ND
ND
05
—
30095
—
ND
Enumeration date
09/29/2006
Last updated
05/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us