QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY
NPI 1003212424
General Acute Care Hospital in Belcourt, ND

NPI Status: Active since November 12, 2014

Contact Information

1300 HOSPITAL LOOP
BELCOURT, ND
ZIP 58316
Phone: (701) 477-6111

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  • Organization
  • General Acute Care Hospital
  • CLIA Number: 35D2319418
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 02-26-2027

About QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY

This page provides the complete NPI Profile along with additional information for Quentin N. Burdick Memorial Health Care Facility, a provider established in Belcourt, North Dakota operating as a General Acute Care Hospital. The healthcare provider is registered in the NPI registry with number 1003212424 assigned on November 2014. The practitioner's primary taxonomy code is 282N00000X with license number 1859 (ND). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Deland Davis (Chief Financial Officer)

NPI
1003212424
Provider Name
QUENTIN N. BURDICK MEMORIAL HEALTH CARE FACILITY
Entity Type
Organization
Location Address
1300 HOSPITAL LOOP BELCOURT, ND 58316
Location Phone
(701) 477-6111
Mailing Address
PO BOX 160 BELCOURT, ND 58316
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2014
Last Update Date
11-12-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Acute Care Hospital

Taxonomy Code
282N00000X
Type
Hospitals
License No.
1859
License State
ND
Taxonomy Description
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DELAND DAVIS

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(701) 477-8405

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
35D2319418
Facility Type
Federally Qualified Health Center
Certificate Effective Date
February 27, 2025
Certificate Expiration Date
February 26, 2027
Laboratory Director
DR. RHEA N. DECOTEAU
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Quentin N. Burdick Memorial Health Care Facility to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1003212424, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
0
Doubled → 0
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 2 → 4 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 0 + 3 + 4 + 1 + 4 + 4 + 4 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1003212424.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Licensed Practical Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Licensed Practical Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Registered Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Registered Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Registered Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Licensed Practical Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Licensed Practical Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Registered Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Licensed Practical Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Licensed Practical Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Family Medicine
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Registered Nurse
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Family Medicine
1300 HOSPITAL LOOP, QUENTIN BURDICK HOSPITAL AND CLINIC
BELCOURT, ND 58316
Dentist
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Dentist (General Practice)
1300 HOSPITAL LOOP
BELCOURT, ND 58316
Dentist (Dental Public Health)
1300 HOSPITAL LOOP
BELCOURT, ND 58316
General Acute Care Hospital (Rural)
1300 HOSPITAL LOOP
BELCOURT, ND 58316
General Acute Care Hospital (Rural)
1300 HOSPITAL LOOP
BELCOURT, ND 58316
General Acute Care Hospital (Rural)
1300 HOSPITAL LOOP
BELCOURT, ND 58316
General Acute Care Hospital (Rural)
1300 HOSPITAL LOOP
BELCOURT, ND 58316

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003212424, enumerated as an "organization" on November 12, 2014.

The provider is located at 1300 HOSPITAL LOOP BELCOURT, ND 58316 and the phone number is (701) 477-6111.

General Acute Care Hospital with taxonomy code 282N00000X.