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DICKEY COUNTY HEALTH DISTRICT
NPI 1063613438
Public Health or Welfare in Ellendale, ND

Active since May 31, 2007CLIA 35D2035549 · Waiver
205 15TH STREET NORTH, ELLENDALE, ND 58436(701) 349-4348(701) 349-3277 Get Directions Write a Review

NPPES record last updated: January 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dickey County Health District NPPES

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

DICKEY COUNTY HEALTH DISTRICT (NPI 1063613438) is a healthcare organization registered as a public health or welfare in Ellendale, North Dakota and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Roxanne M Holm, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063613438
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCOUNTY OF DICKEY
Location Address205 15TH STREET NORTHEllendale, ND 58436
Mailing AddressPo Box 238Ellendale, ND 58436-0238 · (701) 349-4348 · Fax (701) 349-3277
Phone(701) 349-4348
Fax(701) 349-3277
Organization SubpartNo
Authorized OfficialRoxanne M HolmAdministrator · (701) 349-4348
Enumeration DateMay 31, 2007
Last NPPES UpdateJanuary 7, 2013
✔ NPI 1063613438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
License✔ Licensed in ND · AN7413254
205 15TH STREET NORTH, Ellendale, ND 58436
Open in Google Maps ↗

Other Names 1

Doing Business AsDickey County Health District

Other Identifiers 2

Medicare ID-Type Unspecified71033ND
Medicaid51756ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota.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 Waiver 35D2035549

Dickey County Health District · Ellendale, ND
Active · expires Jan 18, 2028
CLIA Number35D2035549
Laboratory TypePublic Health Laboratories
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorRoxanne M. Holm
Laboratory Phone(701) 349-4348
Laboratory LocationDickey County Health District205 15th St N, Ellendale, ND 58436
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
187 services186 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
91 services90 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
82 services82 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
24 services24 patients

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 County Of Dickey's NPI number?

The NPI number for County Of Dickey is 1063613438. It was assigned to this organization in the NPPES registry on May 31, 2007. The provider is doing business as Dickey County Health District.

Where is County Of Dickey located?

County Of Dickey is located at 205 15th Street North, Ellendale, ND 58436. The listed phone number is (701) 349-4348.

What is County Of Dickey's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does County Of Dickey hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D2035549) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does County Of Dickey accept?

Health plans from Blue Cross Blue Shield of North Dakota list County Of Dickey 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 County Of Dickey was last updated on January 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.