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DAKOTA REGIONAL MEDICAL CENTER
NPI 1134304231
Durable Medical Equipment & Medical Supplies in Cooperstown, ND

Active since January 08, 2008CLIA Certified · 2 labs
107 12TH ST S, COOPERSTOWN, ND 58425(701) 786-1700(701) 786-7121 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dakota Regional Medical Center NPPES

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

DAKOTA REGIONAL MEDICAL CENTER (NPI 1134304231) is a healthcare organization registered as a durable medical equipment & medical supplies in Cooperstown, North Dakota and active in the NPI registry since January 2008. The organization holds 2 active CLIA laboratory certificates and lists Kelley Shawn, Admin Assistant/credentialing, as its authorized official.

NPPES Registry Identity

NPI1134304231
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCOOPERSTOWN MEDICAL CENTER
Location Address107 12TH ST SCooperstown, ND 58425-4501
Mailing Address107 12th St SCooperstown, ND 58425-4501 · (701) 789-1700 · Fax (701) 786-7121
Phone(701) 786-1700
Fax(701) 786-7121
Organization SubpartYes
Authorized OfficialKelley ShawnAdmin Assistant/credentialing · (701) 786-1709
Enumeration DateJanuary 8, 2008
Last NPPES UpdateAugust 29, 2023
NPPES CertifiedAugust 29, 2023
✔ NPI 1134304231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
107 12TH ST S, Cooperstown, ND 58425
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Other Names 2

Doing Business AsDakota Regional Medical Center
Doing Business AsCooperstown Medical Center Dme

Other Identifiers 6

Medicaid1009ND
Other21295ND · Blue Cross/blue Sheild Of
Medicaid30095ND
Other489ND · Blue Cross/blue Shield Of
Other24856ND · Blue Cross/blue Shield Of
Other23723ND · Blue Cross/blue Shield Of

CLIA Laboratory Certificates CMS CLIA 2

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 35D0408762

Dakota Regional Medical Center Hospital · Cooperstown, ND
Active · expires Feb 1, 2027
CLIA Number35D0408762
Laboratory TypeHospital
Certificate Effective DateFebruary 2, 2025
Certificate Expiration DateFebruary 1, 2027
Laboratory DirectorJodie Demenge
Laboratory Phone(701) 786-1700
Laboratory LocationDakota Regional Medical Center Hospital107 12th St S, Cooperstown, ND 58425
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.

Certificate of Waiver 35D0698805

Dakota Regional Medical Center · Cooperstown, ND
Active · expires Aug 31, 2028
CLIA Number35D0698805
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorHannah Zaun
Laboratory Phone(701) 797-2128
Laboratory LocationDakota Regional Medical Center107 12th St S, Cooperstown, ND 58425
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KRISTINE LOUISE MARTIN APRN-CNP
Nurse Practitioner (Family)
107 12TH ST S
COOPERSTOWN, ND 58425
Griggs County (701) 786-1700
COOPERSTOWN MEDICAL CENTER
General Acute Care Hospital (Critical Access)
107 12TH ST S
COOPERSTOWN, ND 58425
Griggs County (701) 786-1700
COOPERSTOWN MEDICAL CENTER
Medicare Defined Swing Bed Unit
107 12TH ST S
COOPERSTOWN, ND 58425
Griggs County (701) 786-1700
CORTNEY BEATTIE PT, DPT
Physical Therapist
107 12TH ST S
COOPERSTOWN, ND 58425
Griggs County (701) 786-1700
WILLIAM G MCKINNON MD
Family Medicine
107 12TH ST S
COOPERSTOWN, ND 58425
Griggs County (701) 786-1700
MRS. KALI SUSAN MANZ CNP
Nurse Practitioner (Gerontology)
107 12TH ST S
COOPERSTOWN, ND 58425
Griggs County (701) 786-1700
COOPERSTOWN MEDICAL CENTER
Clinic/Center (Rural Health)
107 12TH ST S
COOPERSTOWN, ND 58425
Griggs County (701) 786-1709

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 Cooperstown Medical Center's NPI number?

The NPI number for Cooperstown Medical Center is 1134304231. It was assigned to this organization in the NPPES registry on January 8, 2008. The provider is doing business as Dakota Regional Medical Center and Cooperstown Medical Center DME.

Where is Cooperstown Medical Center located?

Cooperstown Medical Center is located at 107 12th St S, Cooperstown, ND 58425. The listed phone number is (701) 786-1700.

What is Cooperstown Medical Center's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Cooperstown Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Cooperstown Medical Center was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.