NPIMap

Organization Active NPI

Elbowoods Memorial Health Center

Doing business as Minne Tohe Health Center

  • Clinic/Center
  • New Town, ND
National Provider Identifier
1831365519
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELBOWOODS MEMORIAL HEALTH CENTER
Doing business as
Minne Tohe Health Center
Practice address
1251 Elbowoods Loop
New Town, ND 58763
Phone
(701) 627-4750
Fax
(701) 627-2809
NPI assigned
May 2, 2008
Last updated
Nov 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Kathryn Eagle
Title
Chief Executive Officer
Phone
(701) 627-4750

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Clinic/Center 261Q00000X Primary
Health Service Clinic/Center 261QH0100X
Federal Public Health Clinic/Center 261QP0904X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1251 Elbowoods Loop
New Town, ND 58763

Mailing address

1251 Elbowoods Loop
New Town, ND 58763
Phone (701) 627-4750

Other identifiers 1

IdentifierTypeStateIssuer
1463340MedicaidND

Other names 1

  • Minne Tohe Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090310000122 ND Part B Supplier - Clinic/Group Practice 1052477494 Receives reassigned benefits from 49 practitioners
Practice locations: New Town, ND

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
35D0409250Elbowoods Memorial Health Center1251 Elbowoods Loop, New Town, ND 58763ComplianceSep 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Elbowoods Memorial Health14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

1251 Elbowoods Loop
New Town, ND 58763
Phone (701) 627-4750

2 Central Main St
Roseglen, ND 58775

Ownership & related parties

Subparts reporting this organization as parent 12

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

Practitioners & affiliated clinicians

Practitioners 74

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 74

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1831365519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 ELBOWOODS LOOP",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "58763",
            "telephone_number": "701-627-4750",
            "fax_number": "701-627-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 ELBOWOODS LOOP",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "58763",
            "telephone_number": "701-627-4750",
            "fax_number": "701-627-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELBOWOODS MEMORIAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "EAGLE",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "701-627-4750"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1463340",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minne Tohe Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.