PEMBINA COUNTY MEMORIAL HOSPITAL SWING BED
NPI 1063634210
Medicare Defined Swing Bed Unit in Cavalier, ND

Active since May 03, 2007CLIA 35D0408554 · Certificate of Compliance
301 MOUNTAIN ST E, CAVALIER, ND 58220(701) 265-8461(701) 265-8752 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pembina County Memorial Hospital Swing Bed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEMBINA COUNTY MEMORIAL HOSPITAL SWING BED (NPI 1063634210) is a healthcare organization registered as a medicare defined swing bed unit in Cavalier, North Dakota and active in the NPI registry since May 2007. The organization holds a CLIA Certificate of Compliance certificate valid through April 1, 2027 and lists Lisa R Letexier, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063634210
Entity TypeOrganization
Primary Taxonomy275N00000X
Legal Business NamePEMBINA COUNTY MEMORIAL HOSPITAL ASSOCIATION
Location Address301 MOUNTAIN ST ECavalier, ND 58220-0380
Mailing Address301 Mountain St E, P O Box 380Cavalier, ND 58220-0380 · (701) 265-8461 · Fax (701) 265-8752
Fax(701) 265-8752
Organization SubpartNo
Authorized OfficialLisa R LetexierCeo · (701) 265-6228
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
✔ NPI 1063634210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedicare Defined Swing Bed UnitHospital Units
Taxonomy Code275N00000X
License✔ Licensed in ND · 5009B
Definition
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit.
301 MOUNTAIN ST E, Cavalier, ND 58220

Other Names 1

Other NamePembina County Memorial Hospital Swing Bed

Other Identifiers 3

Medicaid21379ND
Other012443ND · Nd Blue Cross Sb
Medicaid001960ND

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pembina County Memorial Hospital Swing Bed is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Pembina County Memorial Hospital Swing Bed, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 8

Nurse Practitioner5
Certified Registered Nurse Anesthetist (CRNA)2
Clinical Social Worker1
Diagnostic Radiology1
Family Practice1
General Surgery1
Internal Medicine1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1205366788
301 MOUNTAIN ST E
Cavalier, ND 58220
(701) 265-8461
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1316311582
301 MOUNTAIN ST E
Cavalier, ND 58220
(701) 265-6338
✔ Accepts MedicareSame address
Family Practice
NPI 1184760274
301 MOUNTAIN ST E
Cavalier, ND 58220
(701) 265-6307
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245327899
301 MOUNTAIN ST E
Cavalier, ND 58220
(701) 265-6307
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205725876
301 MOUNTAIN ST E
Cavalier, ND 58220
(701) 265-8461
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Social Worker
NPI 1679273452
301 MOUNTAIN ST E
Cavalier, ND 58220
(701) 265-6307
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1558457713
164 W 13TH ST
Grafton, ND 58237
(017) 352-1620
✔ PECOS✔ Accepts Medicare28 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1427345586
1300 S COLUMBIA RD
Grand Forks, ND 58206
(701) 780-5000
65 mi
Nurse Practitioner
NPI 1609352657
1300 S COLUMBIA RD
Grand Forks, ND 58201
(701) 780-2300
✔ PECOS✔ Accepts Medicare66 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881780146
1451 44TH AVE S
Grand Forks, ND 58201
(701) 780-1700
69 mi
Diagnostic Radiology
NPI 1609134436
2355 HIGHWAY 36 W STE 100
Roseville, MN 55113
(651) 292-2000
✔ PECOS✔ Accepts Medicare335 mi
Nurse Practitioner
NPI 1710487004
3400 LEBANON RD
Murfreesboro, TN 37129
(615) 867-6000
✔ PECOS1,057 mi
Nurse Practitioner
NPI 1912483397
800 E RAILROAD AVE STE 210
Wasilla, AK 99654
(907) 313-7965
✔ PECOS✔ Accepts Medicare2,161 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 35D0408554

Pembina County Memorial Hospital · Cavalier, ND
Active · expires Apr 1, 2027
CLIA Number35D0408554
Laboratory TypeHospital
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorChristopher Lockhart
Laboratory Phone(701) 265-8461
Laboratory LocationPembina County Memorial Hospital301 Mountain St E, Cavalier, ND 58220
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Pembina County Memorial Hospital (CMS certification number 351319), from CMS Care Compare.

Pembina County Memorial Hospital

Critical Access Hospitals · Cavalier, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351319
LocationBox 380Cavalier, ND 58220 · Pembina County · (701) 265-8461
Emergency services Meaningful use of EHRs

Complications & Deaths 5

Death rate for heart attack patients
Cases too small to report
Death rate for COPD patients
Cases too small to report
Death rate for heart failure patients
Cases too small to report
Death rate for pneumonia patients
Cases too small to report
Death rate for stroke patients
Cases too small to report

Unplanned Hospital Visits 9

Hospital return days for heart failure patients
Cases too small to report
Hospital return days for pneumonia patients
25 days per 100 discharges
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)
Cases too small to report
Rate of inpatient admissions for patients receiving outpatient chemotherapy
Cases too small to report
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy
Cases too small to report
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients
Cases too small to report

Timely & Effective Care 9

Emergency department volume
Low
Hospital Harm - Severe Hypoglycemia
0
Hospital Harm - Severe Hyperglycemia
4
Healthcare workers given influenza vaccination
46%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
72 minutes
Average (median) time patients spent in the emergency department before leaving from the visit- Psychiatric/Mental Health Patients. A lower number of minutes is better
86 minutes

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pembina County Memorial Hospital Association's NPI number?

The NPI number for Pembina County Memorial Hospital Association is 1063634210. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is also known as Pembina County Memorial Hospital Swing Bed.

Where is Pembina County Memorial Hospital Association located?

Pembina County Memorial Hospital Association is located at 301 Mountain St E, Cavalier, ND 58220. The listed phone number is (701) 265-8461.

What is Pembina County Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is Medicare Defined Swing Bed Unit with taxonomy code 275N00000X.

Is Pembina County Memorial Hospital Association enrolled in Medicare?

Yes. Pembina County Memorial Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pembina County Memorial Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 8 Medicare specialties reassign their Medicare billing to Pembina County Memorial Hospital Association. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Certified Registered Nurse Anesthetist (CRNA) (2) and Clinical Social Worker (1). Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pembina County Memorial Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 35D0408554) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Pembina County Memorial Hospital Association a Medicare-certified hospital?

Yes. Pembina County Memorial Hospital is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

What insurance does Pembina County Memorial Hospital Association accept?

Health plans from Blue Cross Blue Shield of North Dakota list Pembina County Memorial Hospital Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pembina County Memorial Hospital Association was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.