NPIMap

Organization Active NPI

Northland Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turtle Lake, ND
National Provider Identifier
1457435802
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NORTHLAND HEALTH CENTERS
Doing business as
Northland Health Centers
Practice address
416 Kundert St
Turtle Lake, ND 58575
Phone
(701) 448-9225
Fax
(701) 448-9224
NPI assigned
Oct 24, 2006
Last updated
Apr 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Rachel Thomas
Title
Cfo
Phone
(701) 707-2269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

416 Kundert St
Turtle Lake, ND 58575

Mailing address

PO Box 535
Turtle Lake, ND 58575-0535
Phone (701) 448-2054

Other names 1

  • Northland Health Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030218000002 ND Part A Provider - Federally Qualified Health Center (FQHC) 1557270113 Practice locations: Turtle Lake, ND
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457435802. Details of each certification follow.

Federally qualified health center certification: CCN 351804

Legal name
NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER
Doing business as
NORTHLAND HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 1, 2003
Last certification
Mar 1, 2003
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 13, 2002 in ND
Enrollment address
416 Kundert St
Turtle Lake, ND 58575-4205

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1600 2nd Ave SW
Ste 10
Minot, ND 58701
Phone (701) 852-4600

612 4th St E
Williston, ND 58801
Phone (701) 568-5600

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Walter Lipp Individual Corporate Officer Jan 23, 2012 5%
Nadine Boe Individual Corporate OfficerCeo Dec 1, 2018 5%
W-2 Managing EmployeeCeo Dec 1, 2018 5%
Rachel Thomas Individual Corporate OfficerCfo Jan 1, 2019 5%
W-2 Managing EmployeeCfo Jan 1, 2019 5%

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1457435802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "TURTLE LAKE",
            "state": "ND",
            "postal_code": "585750535",
            "telephone_number": "701-448-2054",
            "fax_number": "701-448-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 KUNDERT ST",
            "city": "TURTLE LAKE",
            "state": "ND",
            "postal_code": "58575",
            "telephone_number": "701-448-9225",
            "fax_number": "701-448-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-707-2269"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Turtle Lake, ND

Sources for this page

Verify at the official NPI Registry.