ELBOWOODS MEMORIAL HEALTH CENTER (NPI# 1629511464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629511464 |
| Entity Type | Organization |
| Organization Name | ELBOWOODS MEMORIAL HEALTH CENTER |
| Practice Address |
1058 College Dr New Town ND 58763-9112 |
| Practice Telephone | 7016274750 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | KATHRYN EAGLE WILLIAMS (CEO) |
| Authorized Official Telephone | 7016274750 |
| Is Organization Subpart | Y |
| Parent Organization Name | ELBOWOODS MEMORIAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831365519 | Elbowoods Memorial Health Center | Clinic/Center | 1058 College Drive, New Town, ND 58763 | 2008-05-02 |
| 1992206528 | Elbowoods Memorial Health Center | Podiatrist | 1058 College Dr, New Town, ND 58763-9112 | 2018-02-28 |
| 1437650058 | Elbowoods Memorial Health Center | Social Worker | 1058 College Dr, New Town, ND 58763-9112 | 2018-02-28 |
| 1902349418 | Elbowoods Memorial Health Center | Counselor | 1058 College Dr, New Town, ND 58763-9112 | 2016-12-01 |
| 1619410453 | Elbowoods Memorial Health Center | Psychologist | 1058 College Dr, New Town, ND 58763-9112 | 2016-11-28 |
| 1750745865 | Elbowoods Memorial Health Center | Dietetic Technician, Registered | 1058 College Dr, New Town, ND 58763-9112 | 2016-04-06 |
| 1841654951 | Elbowoods Memorial Health Center | General Practice | 1058 College Dr, New Town, ND 58763-9112 | 2016-04-06 |
| 1558722942 | Elbowoods Memorial Health Center | Registered Nurse | 1058 College Dr, New Town, ND 58763-9112 | 2016-03-11 |
| 1093176489 | Elbowoods Memorial Health Center | Physician Assistant | 1058 College Dr, New Town, ND 58763-9112 | 2016-03-11 |
| 1265893655 | Elbowoods Memorial Health Center | Dentist | 1058 College Dr, New Town, ND 58763-9112 | 2016-03-11 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839735 | Affinitas Psychiatric Care, PC | Psychiatry & Neurology | 3523 45th St S Ste 151, Fargo, ND 58104-8962 | 2019-12-26 |
| 1659579167 | Albert F Samuelson | Psychiatry & Neurology | 1252 N Parkview Dr, Bismarck, ND 58501-1288 | 2007-07-05 |
| 1083734172 | Melissa Jo Henke | Psychiatry & Neurology | 2372 Harmon Ln N, Mandan, ND 58554-8271 | 2007-03-30 |
| 1134260482 | Harjinder K Virdee | Psychiatry & Neurology | 2704 N Broadway, Suite C, Fargo, ND 58102 | 2007-02-09 |
| 1184760902 | William Benjamin Pryatel Jr. | Psychiatry & Neurology | 1200 S. Columbia Rd, Grand Forks, ND 58201 | 2007-01-29 |
| 1396809919 | Susan Eileen Delap | Psychiatry & Neurology | 4023 State St, Suite 100, Bismarck, ND 58503-0690 | 2006-12-20 |
| 1821175241 | Amador Montes Dizon | Psychiatry & Neurology | 510 4th St So, Fargo, ND 58103 | 2006-11-01 |
| 1275629719 | David Javier Lopez | Psychiatry & Neurology | 300 Np Ave Ste 101, Fargo, ND 58102-4871 | 2006-10-04 |
| 1902998081 | Emmet Michael Kenney Jr. | Psychiatry & Neurology | 3201 33rd St S, Fargo, ND 58104-8823 | 2006-09-28 |
| 1093807182 | Fetih Akgul | Psychiatry & Neurology | 510 4th St South, Prairie St Johns LLC, Fargo, ND 58107 | 2006-09-28 |
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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.