ELBOWOODS MEMORIAL HEALTH CENTER PHARMACY (NPI# 1467611970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467611970 |
| Entity Type | Organization |
| Organization Name | ELBOWOODS MEMORIAL HEALTH CENTER PHARMACY |
| Other Organization Name | ELBOWOODS PHARMACY |
| Practice Address |
1058 College Dr New Town ND 58763-9112 |
| Practice Telephone | 7016274750 |
| Practice Fax Number | 7016272815 |
| Mailing Telephone | 7016274750 |
| Mailing Fax Number | 7016272815 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | DONNA BIERI (CHIEF TELEPHARMACIST) |
| Authorized Official Telephone | 7019383459 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 619 | ND | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 2401 | 05 | |
| PK | 2118264 | 01 |
| Other Name | Type Code |
|---|---|
| Elbowoods Pharmacy | Doing Business As Name - Organization |
| Street Address |
1058 COLLEGE DR |
| City | NEW TOWN |
| State | ND |
| Zip Code | 58763-9112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043212749 | Samuel Stuart Johnson | Family Medicine | 1058 College Dr, New Town, ND 58763-9112 | 2005-08-12 |
| 1124641105 | Xaviera Pascale Nyandjo | Pharmacist | 1058 College Dr, New Town, ND 58763-9112 | 2020-05-25 |
| 1720600927 | Gwendolyn Ashley Davis | Registered Nurse | 1058 College Dr, New Town, ND 58763-9112 | 2020-05-11 |
| 1407493216 | Lenaya Marie Martin | Nurse Practitioner | 1058 College Dr, New Town, ND 58763-9112 | 2019-11-30 |
| 1558918045 | Sadie Jayne Dale | Physical Therapist | 1058 College Dr, New Town, ND 58763-9112 | 2019-08-20 |
| 1326501826 | Gregory L Fondong | Pharmacist | 1058 College Dr, New Town, ND 58763-9112 | 2019-04-11 |
| 1659845907 | Jennifer Jordan | Radiology | 1058 College Dr, New Town, ND 58763-9112 | 2019-01-18 |
| 1689146201 | Jared Eagle | Health Educator | 1058 College Dr, New Town, ND 58763-9112 | 2018-12-20 |
| 1164991881 | Shelby Stein | Dietitian, Registered | 1058 College Dr, New Town, ND 58763-9112 | 2018-11-26 |
| 1124511415 | Douglas Mai | Radiology | 1058 College Dr, New Town, ND 58763-9112 | 2018-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332337 | Opportunity Foundation Inc | Day Training, Developmentally Disabled Services | 709 E Eagel Dr, New Town, ND 58763 | 2017-12-26 |
| 1225437460 | New Town Health Support Corporation | Assisted Living Facility | 603 1st Street Nw, New Town, ND 58763 | 2014-08-13 |
| 1992099477 | Debbie Joyce Jeanotte | Registered Nurse | 1 Minne-tohe Drive, Minne-tohe Health Center, New Town, ND 58763 | 2011-06-02 |
| 1831365519 | Elbowoods Memorial Health Center | Clinic/Center | 1058 College Drive, New Town, ND 58763 | 2008-05-02 |
| 1467622704 | Tri City Cares, Inc. | PACE Provider Organization | 709 E Eagle Dr, New Town, ND 58763 | 2008-03-03 |
| 1417028978 | Nora M Rasmussen | Nurse Practitioner | 604 1st St N, New Town, ND 58763 | 2006-11-13 |
| 1194249417 | Cianna Marie Rabbithead | Counselor | 1058 College Drive, New Town, ND 58763 | 2017-07-28 |
| 1619423308 | Ty Thompson | Counselor | 304 7th St N, New Town, ND 58763 | 2016-09-01 |
| 1508051483 | Traci Weaver | Pharmacy Technician | 334 Main Street, New Town, ND 58763 | 2007-09-13 |
| 1467527820 | Cheryl D Ulven | Physician Assistant | 604 1st St N, New Town, ND 58763 | 2006-11-21 |
| Find all providers in zip 58763 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851428288 | Fort Berthold Ihs Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1 Minni Tohe Dr, New Town, ND 58763-4400 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770613325 | Fort Yates Indian Hosp Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1010 N River Rd, Fort Yates, ND 58538 | 2007-03-06 |
| 1790811503 | Belcourt Ihs Hospital | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1st Main St Highway 5, Belcourt, ND 58316 | 2007-02-26 |
| 1124284914 | Three Affiliated Tribes White Shield Healthcare Telepharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 2 Main Street B, Roseglen, ND 58775 | 2008-08-01 |
| 1811153505 | Three Affiliated Tribes Twin Buttes Healthcare Tele-pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 726 80th Ave Nw, Halliday, ND 58636-4001 | 2008-08-01 |
| 1801052592 | Three Affiliated Tribes Parshall Healthcare Tele-pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 107 3rd St Se, Parshall, ND 58770 | 2008-08-01 |
| 1063678779 | Three Affiliated Tribes Manadree Health Care Tele-pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 305 Main Street, Mandaree, ND 58757 | 2008-08-01 |
| 1689895427 | Trenton Community Clinic Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 331 4th Ave E, Hwy 1804, Trenton, ND 58853-9998 | 2007-05-01 |
| 1568592137 | Spirit Lake Health Center Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 3883 74th Ave Ne, Fort Totten, ND 58335 | 2007-03-06 |
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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.