Northland Health Centers
Organization Active NPI Federally Qualified Health Center (FQHC) · Bowbells, ND
NPI 1174866271 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1174866271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- NORTHLAND HEALTH CENTERS
- Practice address
- 18 Main St SW Ste B
Bowbells, ND 58721 - Phone
- (701) 377-6400
- Fax
- (701) 377-6401
- NPI assigned
- Mar 27, 2013
- Organization subpart
- No
Authorized official
- Name
- Rachel Thomas
- Title
- Cfo
- Phone
- (701) 707-2269
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 9
Practitioners 15
-
Kayla Marie Abrahamson, DNP, FNP-C
-
Priscilla Dunham, PMHNP
-
Tasha Lyn Leier, FNP-C
-
Melissa Renae McClintock, FNP-C
-
Caitlin Olivia Olson, PA-C
-
Jessica Leigh Rost, FNP-C
-
Brooke M Thom, DNP, FNP-C
-
Kelsey Lynne Grennell, PA-C
-
Jazlyn Kate Bates, MSN, PMHNP-BC
-
Alicja Monika Cebulak, PMHNP
-
Chassidy Sharp, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND
Federally qualified health center certification: CCN 351815
- Legal name
- NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER
- Doing business as
- NORTHLAND COMMUNITY HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Dec 11, 2013
- Last certification
- Dec 11, 2013
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 13, 2002 in ND
- Enrollment address
- 18 Main St SW - Suite B
Bowbells, ND 58721
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Benjamin Mack |
Corporate Director | Sep 15, 2011 | |
| Walter Lipp |
Corporate Director | Jan 23, 2012 | |
| Nadine Boe |
Corporate Officer |
Dec 1, 2018 | 5% |
| W-2 Managing Employee |
Dec 1, 2018 | 2% | |
| Rachel Thomas |
Corporate Officer |
Jan 1, 2019 | 5% |
| W-2 Managing Employee |
Jan 1, 2019 | 5% | |
| Jeff Martwick |
Corporate Director | Oct 31, 2011 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000411 | ND | Part B Supplier - Clinic/Group Practice | 1557270113 |
Receives reassigned benefits from 22 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rolette, ND; Turtle Lake, ND; Saint John, ND; Ray, ND; Minot, ND; McClusky, ND; Bowbells, ND; Bismarck, ND |
| O20131211001537 | ND | Part a Provider - Federally Qualified Health Center (FQHC) | 1557270113 | Practice locations: Bowbells, ND |
National Provider Directory
Locations
416 Kundert St
Turtle Lake, ND 58575
Phone (701) 448-2331
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
18 Main St SW Ste B
Bowbells, ND 58721
Mailing address
PO Box 535
Turtle Lake, ND 58575-0535
Phone (701) 448-2054
Other names
- Northland Health Centers
Other providers in Bowbells, ND
- Savannah Baltrusch
- Bowbells Ambulance Service
- Burke County Social Services
- Shelley Jean Jacobson
- St. Luke'S Hospital
All providers in Bowbells, ND · Federally Qualified Health Center (FQHC) in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.