Organization Active NPI

Three Affiliated Tribes Kidney Dialysis Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • New Town, ND
National Provider Identifier
1083625354
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
THREE AFFILIATED TRIBES KIDNEY DIALYSIS UNIT
Practice address
1250 Elbowoods Loop
New Town, ND 58763
Phone
(701) 627-4840
Fax
(701) 627-4842
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Marie Lone Bear
Title
Director
Phone
(701) 627-4840

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X

Addresses

Primary practice location

1250 Elbowoods Loop
New Town, ND 58763

Mailing address

1250 Elbowoods Loop
New Town, ND 58763
Phone (701) 627-4840

Other identifiers 2

IdentifierTypeStateIssuer
1476489MedicaidND
57787OtherNDMEDICAID TRANSPORTATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080613000108 ND Part A Provider - End-Stage Renal Disease Facility (ESRD) 8022189307 Practice locations: New Town, ND

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

9281 Highway 23
New Town, ND 58763
Phone (701) 627-4840

1058 College Dr
Ste B
New Town, ND 58763

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1083625354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 ELBOWOODS LOOP",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "58763",
            "telephone_number": "701-627-4840",
            "fax_number": "701-627-4842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 ELBOWOODS LOOP",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "58763",
            "telephone_number": "701-627-4840",
            "fax_number": "701-627-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE AFFILIATED TRIBES KIDNEY DIALYSIS UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "LONE BEAR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "701-627-4840"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476489",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TRANSPORTATION",
            "identifier": "57787",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Town, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.