NPIMap

Organization Active NPI

Northland Health Centers

  • Federally Qualified Health Center (FQHC)
  • Bismarck, ND
National Provider Identifier
1912723735
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
Practice address
4401 Coleman St, Unit 107
Bismarck, ND 58503-1371
Phone
(701) 448-2054
NPI assigned
Nov 26, 2024
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

4401 Coleman St, Unit 107
Bismarck, ND 58503-1371

Mailing address

PO Box 535
Turtle Lake, ND 58575-0535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227001870 ND Part A Provider - Federally Qualified Health Center (FQHC) 1557270113 Practice locations: Bismarck, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912723735. Details of each certification follow.

Federally qualified health center certification: CCN 351002

Legal name
NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Feb 27, 2025
Last certification
Feb 27, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
4401 Coleman St
Ste 107
Bismarck, ND 58503-1371

Other NPIs with the same Medicare PAC ID 9

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

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
35D2315463Northland Health Center4401 Coleman St Unit 107, Bismarck, ND 58503Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Northland Health Centers8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Nadine Boe Individual W-2 Managing Employee Jan 1, 2020
Rachel Thomas Individual W-2 Managing Employee Jan 1, 2020

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1912723735",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 COLEMAN ST, UNIT 107",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585031371",
            "telephone_number": "701-448-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "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": []
}

Other providers in Bismarck, ND

Sources for this page

Verify at the official NPI Registry.