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GLEN ULLIN FAMILY MEDICAL CENTER
NPI 1023096419
Family Medicine in Glen Ullin, ND

Active since January 05, 2006CLIA 35D1046042 · Waiver
602 ASH AVE, GLEN ULLIN, ND 58631(701) 348-9175(701) 348-9177 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glen Ullin Family Medical Center NPPES

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

GLEN ULLIN FAMILY MEDICAL CENTER (NPI 1023096419) is a healthcare organization registered as a family medicine in Glen Ullin, North Dakota and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Thomas Nehring, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023096419
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGLEN ULLIN FAMILY MEDICAL CENTER
Location Address602 ASH AVEGlen Ullin, ND 58631
Mailing AddressPo Box 5Glen Ullin, ND 58631-0005 · (701) 348-9175 · Fax (701) 348-9177
Phone(701) 348-9175
Fax(701) 348-9177
Organization SubpartNo
Authorized OfficialThomas NehringCfo · (701) 873-4821
Enumeration DateJanuary 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1023096419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
602 ASH AVE, Glen Ullin, ND 58631
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Waiver 35D1046042

Glen Ullin Family Medical Clinic · Glen Ullin, ND
Active · expires Sep 28, 2027
CLIA Number35D1046042
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorRhonda Schmidt
Laboratory Phone(701) 348-9175
Laboratory LocationGlen Ullin Family Medical Clinic602 E Ash Ave, Glen Ullin, ND 58631
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

LINDA DUPPONG PA-C
Physician Assistant
602 ASH AVE
GLEN ULLIN, ND 58631
Morton County (701) 348-9175

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 Glen Ullin Family Medical Center's NPI number?

The NPI number for Glen Ullin Family Medical Center is 1023096419. It was assigned to this organization in the NPPES registry on January 5, 2006.

Where is Glen Ullin Family Medical Center located?

Glen Ullin Family Medical Center is located at 602 Ash Ave, Glen Ullin, ND 58631. The listed phone number is (701) 348-9175.

What is Glen Ullin Family Medical Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Glen Ullin Family Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D1046042) is associated with this NPI, valid through September 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Glen Ullin Family Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.