JACOBSON MEMORIAL HOSPITAL CARE CENTER
NPI 1003929944
Clinic/Center - Rural Health in Glen Ullin, ND

Active since August 16, 2006CLIA 35D0869325 · Certificate of Compliance
602 ASH AVE E, GLEN ULLIN, ND 58631(701) 584-2792 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacobson Memorial Hospital Care Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOBSON MEMORIAL HOSPITAL CARE CENTER (NPI 1003929944), doing business as Glen Ullin Family Medical Clinic, is a healthcare organization registered as a rural health in Glen Ullin, North Dakota and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through August 17, 2027 and lists Kristin Heid, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003929944
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJACOBSON MEMORIAL HOSPITAL CARE CENTER
Location Address602 ASH AVE EGlen Ullin, ND 58631
Mailing AddressPo Box 367Elgin, ND 58533-0367 · (701) 584-2792 · Fax (701) 584-2229
Organization SubpartYes
Authorized OfficialKristin HeidCeo · (701) 584-7205
Enumeration DateAugust 16, 2006
Last NPPES UpdateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
NPI 1003929944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
602 ASH AVE E, Glen Ullin, ND 58631

Other Names 1

Doing Business AsGlen Ullin Family Medical Clinic

Other Identifiers 2

Other06043003ND · Blue Cross - Rhc
Medicaid1458638ND

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 35D0869325

Jacobson Memorial Hospital Care Center · Elgin, ND
Active · expires Aug 17, 2027
CLIA Number35D0869325
Laboratory TypeHospital
Certificate Effective DateAugust 18, 2025
Certificate Expiration DateAugust 17, 2027
Laboratory DirectorDr. Stephen Berns
Laboratory Phone(701) 584-2792
Laboratory LocationJacobson Memorial Hospital Care Center601 East St N, Elgin, ND 58533
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
602 ASH AVE E
GLEN ULLIN, ND 58631

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacobson Memorial Hospital Care Center's NPI number?

The NPI number for Jacobson Memorial Hospital Care Center is 1003929944. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Glen Ullin Family Medical Clinic.

Where is Jacobson Memorial Hospital Care Center located?

Jacobson Memorial Hospital Care Center is located at 602 Ash Ave E, Glen Ullin, ND 58631. The listed phone number is (701) 584-2792.

What is Jacobson Memorial Hospital Care Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Jacobson Memorial Hospital Care Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 35D0869325) is associated with this NPI, valid through August 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jacobson Memorial Hospital Care Center accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Jacobson Memorial Hospital Care Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacobson Memorial Hospital Care Center was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.