COOPERSTOWN MEDICAL CENTER NURSING HOME
NPI 1285726067
Skilled Nursing Facility in Cooperstown, ND

Active since September 29, 2006
1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425(701) 797-2221 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Skilled Nursing Facility
  • Accepts Insurance

About COOPERSTOWN MEDICAL CENTER NURSING HOME

This page provides the complete NPI Profile along with additional information for Cooperstown Medical Center Nursing Home, a provider established in Cooperstown, North Dakota operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1285726067 assigned on September 2006. The practitioner's primary taxonomy code is 314000000X with license number 1012A (ND). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Cooperstown Medical Center Nursing Home. The authorized official of this NPI record is Gregory Stomp Rn, Lnha (Administrator/ceo)

NPI
1285726067 Verify this NPI
Provider Legal Name
COOPERSTOWN MEDICAL CENTER
Other Organization Name
COOPERSTOWN MEDICAL CENTER NURSING HOME
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1200 ROBERTS AVE NE COOPERSTOWN, ND 58425
Location Phone
(701) 797-2221
Mailing Address
1200 ROBERTS AVE NE COOPERSTOWN, ND 58425
Mailing Phone
(701) 797-2221
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-29-2006
Last Update Date
05-14-2008
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Location Map

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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
1012A
License State
ND
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Sanford Individual Simplicity $1,750 - PPO
  • Sanford Individual Simplicity $10,600 - PPO
  • Sanford Individual Simplicity $3,500 - PPO
  • Sanford Individual Simplicity $4,750 - PPO
  • Sanford Individual Simplicity $6,500 - PPO
  • Sanford Individual Simplicity $7,200 HSA Qualified - PPO
  • Sanford Individual Simplicity Standardized $2,000 - PPO
  • Sanford Individual Simplicity Standardized $6,000 - PPO
  • Sanford Individual Simplicity Standardized $7,500 - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

GREGORY STOMP RN, LNHA

Authorized Official Title
ADMINISTRATOR/CEO
Authorized Official Phone
(701) 797-2221

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
30095MEDICAID (05)ND 
71115MEDICARE UPIN (02)ND 
355039MEDICARE OSCAR/CERTIFICATION (06)ND 
1107OTHER (01)NDBLUE CROSS BLUE SHIELD ND
4981850001MEDICARE NSC (07)ND 

Reviews for COOPERSTOWN MEDICAL CENTER NURSING HOME

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner
1200 ROBERTS AVE NE, COOPERSTOWN MEDICAL CENTER
COOPERSTOWN, ND 58425
Nurse Practitioner (Primary Care)
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Dentist
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Dietitian, Registered
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Skilled Nursing Facility
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425
Nurse Practitioner (Family)
1200 ROBERTS AVE NE
COOPERSTOWN, ND 58425

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285726067, enumerated as an "organization" on September 29, 2006.

The provider is located at 1200 ROBERTS AVE NE COOPERSTOWN, ND 58425 and the phone number is (701) 797-2221.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Sanford Health Plan, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.