OrganizationActive
Essentia Health Surgery Centers-North Dakota, LLC
NPI 1164362703 · Ambulatory Surgical Clinic/Center · Wahpeton, ND
Provider details
- NPI number
- 1164362703
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Essentia Health Surgery Centers
- Organization subpart
- Yes
- Authorized official
- Kevin Boren, Vp of Finance(218) 786-1009
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
275 11th St S
Wahpeton, ND 58075-4655
Phone: (701) 645-2000
Fax: (701) 671-4153
Street-level locationGet directions
Mailing address
275 11th St S
Wahpeton, ND 58075-4655
Other names (DBA / former)
- Doing business as
- Essentia Health Surgery Center-Wahpeton
Registry dates
- Enumerated
- 2026-04-01
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.