ELBOWOODS MEMORIAL HEALTH CENTER (NPI# 1841654951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841654951 |
| Entity Type | Organization |
| Organization Name | ELBOWOODS MEMORIAL HEALTH CENTER |
| Practice Address |
1058 College Dr New Town ND 58763-9112 |
| Practice Telephone | 7016274750 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | KATHRYN EAGLE (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 | 208D00000X | General Practice | 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 |
| 1629511464 | Elbowoods Memorial Health Center | Psychiatry & Neurology | 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 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609957034 | Imelda T Naranja | General Practice | 604 1st St N, New Town, ND 58763-4144 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639531833 | Michael Brian Walery | General Practice | 681 Macon Dr, Bismarck, ND 58504-7236 | 2016-03-26 |
| 1316146822 | Lakhbir Singh Sarpal | General Practice | 1601 41st Ave S, Fargo, ND 58104-6370 | 2007-07-13 |
| 1184645533 | Gary W Ramage | General Practice | 525 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1851317317 | Linton Hospital | General Practice | 343 Main Street, Hazelton, ND 58544 | 2006-07-15 |
| 1063499804 | Rick J Geier | General Practice | 820 5th St N, Carrington, ND 58421-1223 | 2005-12-22 |
| 1992248967 | Necito L Montaniel | General Practice | 3883 74th Avenue Ne, Fort Totten, ND 58335 | 2016-11-23 |
| 1598028771 | Garrett L Parker | General Practice | 1599 J St, Grand Forks Afb, ND 58205-6306 | 2012-06-21 |
| 1972769826 | Hans Bjellum Md PC | General Practice | 1517 32nd Ave S, Fargo, ND 58103-5905 | 2008-07-30 |
| 1124224753 | Charles Whitley Emerson IIi | General Practice | 909 2nd St, Langdon, ND 58249-2407 | 2007-06-21 |
| 1376565903 | Edgar Kramer Oliveira | General Practice | 511 Elm Ave, Linton Medical Center, Linton, ND 58552 | 2006-07-24 |
| Find all providers with the same taxonomy | ||||
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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.