Active NPI
Pyramid Health, LLC
- Clinic/Center
- Bottineau, ND
National Provider Identifier
1992269161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PYRAMID HEALTH, LLC
- Practice address
- 516 Main St
Bottineau, ND 58318-1203 - Phone
- (701) 534-0109
- Fax
- (866) 640-0723
- NPI assigned
- Jan 22, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Koivula, RN
- Title
- Office Manager
- Phone
- (701) 534-0109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
516 Main St
Bottineau, ND 58318-1203
Mailing address
PO Box 419
Bottineau, ND 58318-0401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477108 | Medicaid | ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mark.koivula.1@19007.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 35D2162346 | Pyramid Health, LLC | Certificate of waiver | Feb 19, 2027 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- mark.koivula.1@19007.direct.athenahealth.com
- https://api.platform.athenahealth.com/19007/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bottineau, ND
- NPI 1265660740
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1992269161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 419",
"city": "BOTTINEAU",
"state": "ND",
"postal_code": "583180401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 MAIN ST",
"city": "BOTTINEAU",
"state": "ND",
"postal_code": "583181203",
"telephone_number": "701-534-0109",
"fax_number": "866-640-0723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PYRAMID HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-22",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "KOIVULA",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "701-534-0109",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477108",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mark.koivula.1@19007.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "516 Main St",
"city": "Bottineau",
"state": "ND",
"country_code": "US",
"postal_code": "583181203",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bottineau, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.