Provider Demographics
NPI:1427095447
Name:LINTON HOSPITAL
Entity type:Organization
Organization Name:LINTON HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUKAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FISCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-254-3111
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:LINTON
Mailing Address - State:ND
Mailing Address - Zip Code:58552-0850
Mailing Address - Country:US
Mailing Address - Phone:701-254-4511
Mailing Address - Fax:701-254-0112
Practice Address - Street 1:111 W ELM AVE
Practice Address - Street 2:
Practice Address - City:LINTON
Practice Address - State:ND
Practice Address - Zip Code:58552-2100
Practice Address - Country:US
Practice Address - Phone:701-254-4511
Practice Address - Fax:701-254-0112
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LINTON HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-05-31
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1909Medicaid
ND2667OtherBLUE CROSS OF ND
ND1909Medicaid