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Elbowoods Memorial Health Center

Organization Active NPI Nurse Practitioner · New Town, ND

NPI 1073974465 · NPPES record last updated Mar 11, 2016

Key facts

NPI
1073974465
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
ELBOWOODS MEMORIAL HEALTH CENTER
Practice address
1058 College Dr
New Town, ND 58763-9112
Phone
(701) 627-4750
NPI assigned
Mar 11, 2016
Organization subpart
Yes
Parent organization (as reported)
ELBOWOODS MEMORIAL HEALTH CENTER

Authorized official

Name
Kathryn Eagle
Title
Ceo
Phone
(701) 627-4750

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Elbowoods Memorial Health Center (14 organizations share this tax ID)
Part of
Elbowoods Memorial Health Center

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X Yes

Addresses

Primary practice location

1058 College Dr
New Town, ND 58763-9112

Mailing address

1058 College Dr
New Town, ND 58763-9112

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 11, 2016.

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1073974465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 COLLEGE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587639112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 COLLEGE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587639112",
            "telephone_number": "701-627-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBOWOODS MEMORIAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELBOWOODS MEMORIAL HEALTH CENTER",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-627-4750"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Town, ND

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Sources for this page

Verify at the official NPI Registry.