Elbowoods Memorial Health Center
Organization Active NPI Optometrist · New Town, ND
NPI 1083075477 · NPPES record last updated Mar 11, 2016
Key facts
- NPI
- 1083075477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- 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
Corporate family (same tax ID) 13
National Provider Directory
- Tax ID family
- Elbowoods Memorial Health Center
- Part of
- Elbowoods Memorial Health Center
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
1058 College Dr
New Town, ND 58763-9112
Mailing address
1058 College Dr
New Town, ND 58763-9112
Other providers in New Town, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.