NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER (NPI# 1174866271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174866271 |
Entity Type | Organization |
Organization Name | NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER |
Other Organization Name | NORTHLAND HEALTH CENTERS |
Practice Address |
18 Main St Sw Ste B Bowbells ND 58721 |
Mailing Address |
Po Box 535 Turtle Lake ND 58575-0535 |
Practice Telephone | 7013776400 |
Practice Fax Number | 7013776401 |
Mailing Telephone | 7014482054 |
Mailing Fax Number | 7014482056 |
Enumeration Date | 2013-03-27 |
Last Update Date | 2018-05-25 |
Authorized Official Name | PATRICK BUTLER (CEO) |
Authorized Official Telephone | 7014482054 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 5924 | 05 |
Other Name | Type Code |
---|---|
Northland Health Centers | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649761693 | Northland Health Partners Community Health Center | Clinic/Center | 612 4th St East, Williston, ND 58802 | 2018-05-25 |
1679958755 | Northland Health Partners Community Health Center | Clinic/Center | 24 Railroad Ave Ste 16, Ray, ND 58849 | 2015-07-30 |
1629481841 | Northland Health Partners Community Health Center | Clinic/Center | 15 2nd Ave Sw Ste 110, Minot, ND 58701 | 2014-06-05 |
1689758039 | Northland Health Partners Community Health Center | Clinic/Center | 401 2nd Ave, Rolette, ND 58366 | 2006-10-24 |
1841723855 | Northland Health Partners Community Health Center | Clinic/Center | 914 S 12th St, Suite 101, Bismarck, ND 58504 | 2017-04-06 |
1588906770 | Northland Health Partners Community Health Center | Clinic/Center | 1600 2nd Ave Sw Ste 19, Minot, ND 58701 | 2013-03-26 |
1225369523 | Northland Health Partners Community Health Center | Clinic/Center | 114 3rd St Ne, Rolla, ND 58367 | 2010-01-26 |
1528142981 | Northland Health Partners Community Health Center | Clinic/Center | 122 E 2nd St, Mcclusky, ND 58463 | 2006-10-24 |
1457435802 | Northland Health Partners Community Health Center | Clinic/Center | 416 Kundert St, Turtle Lake, ND 58575 | 2006-10-24 |
Street Address |
18 MAIN ST SW STE B |
City | BOWBELLS |
State | ND |
Zip Code | 58721 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508374901 | Burke County Social Services | Case Management | 103 Main Street Se, Bowbells, ND 58721 | 2018-01-19 |
1477565406 | St. Luke's Hospital | Clinic/Center | 24 Main St. Sw #b, Bowbells, ND 58721 | 2006-08-11 |
1861609935 | Bowbells Ambulance Service | Ambulance | 123 2nd St, Bowbells, ND 58721 | 2007-05-17 |
1205319225 | Shelley Jean Jacobson | Registered Nurse | 6960 County Road 17, Bowbells, ND 58721-9418 | 2018-09-14 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649761693 | Northland Health Partners Community Health Center | Clinic/Center | 612 4th St East, Williston, ND 58802 | 2018-05-25 |
1841701877 | Family Health Care Center | Clinic/Center | 4025 9th Ave S, Fargo, ND 58103-2101 | 2017-10-17 |
1114478823 | Community Health Service Inc. | Clinic/Center | 1113 W 11th St, Grafton, ND 58237-2139 | 2016-10-18 |
1962863324 | Family Health Care Center | Clinic/Center | 726 13th Ave E, West Fargo, ND 58078-3304 | 2016-03-14 |
1841658887 | Coal Country Community Health Center | Clinic/Center | 510 8th Ave Nw, Hazen, ND 58545-4638 | 2016-02-05 |
1679958755 | Northland Health Partners Community Health Center | Clinic/Center | 24 Railroad Ave Ste 16, Ray, ND 58849 | 2015-07-30 |
1629481841 | Northland Health Partners Community Health Center | Clinic/Center | 15 2nd Ave Sw Ste 110, Minot, ND 58701 | 2014-06-05 |
1689878324 | Spectra Health | Clinic/Center | 212 S 4th St, Suite 101, Grand Forks, ND 58201-4777 | 2007-06-14 |
1609945781 | Family Health Care Center | Clinic/Center | 301 Np Ave, Fargo, ND 58102 | 2006-11-06 |
1689758039 | Northland Health Partners Community Health Center | Clinic/Center | 401 2nd Ave, Rolette, ND 58366 | 2006-10-24 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.