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ELBOWOODS MEMORIAL HEALTH CENTER
NPI 1073974465
Nurse Practitioner in New Town, ND

Active since March 11, 2016CLIA 35D0409250 · Certificate of Compliance
1058 COLLEGE DR, NEW TOWN, ND 58763(701) 627-4750 Get Directions Write a Review

NPPES record last updated: March 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elbowoods Memorial Health Center NPPES

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

ELBOWOODS MEMORIAL HEALTH CENTER (NPI 1073974465) is a healthcare organization registered as a nurse practitioner in New Town, North Dakota and active in the NPI registry since March 2016. The organization holds a CLIA Certificate of Compliance certificate valid through September 20, 2026 and lists Kathryn Eagle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073974465
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameELBOWOODS MEMORIAL HEALTH CENTER
Location Address1058 COLLEGE DRNew Town, ND 58763-9112
Mailing Address1058 College DrNew Town, ND 58763-9112
Phone(701) 627-4750
Organization SubpartYes
Authorized OfficialKathryn EagleCeo · (701) 627-4750
Enumeration DateMarch 11, 2016
✔ NPI 1073974465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1058 COLLEGE DR, New Town, ND 58763
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Compliance 35D0409250

Elbowoods Memorial Health Center · New Town, ND
Active · expires Sep 20, 2026
CLIA Number35D0409250
Laboratory TypeTribal Health Facility
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorMichael Jones
Laboratory Phone(701) 627-7683
Laboratory LocationElbowoods Memorial Health Center1251 Elbowoods Loop, New Town, ND 58763
CLIA data matches this NPI record on: Name
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 20

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

JAMIE THONGPHET FNP-BC
Nurse Practitioner (Family)
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-4750
DR. SAMUEL STUART JOHNSON M.D.
Family Medicine
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-4750
JOANNE WIERSON RN
Registered Nurse
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-4750
CRYSTAL SNOE RN
Registered Nurse
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-4750
ELBOWOODS MEMORIAL HEALTH CENTER
Optometrist
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-4750
ELBOWOODS MEMORIAL HEALTH CENTER
Physician Assistant
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (710) 627-4750
DOUGLAS MAI
Radiology (Diagnostic Radiology)
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-7681
XAVIERA PASCALE NYANDJO PHARMD, RPH
Pharmacist
1058 COLLEGE DR
NEW TOWN, ND 58763
Mountrail County (701) 627-7621

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 Elbowoods Memorial Health Center's NPI number?

The NPI number for Elbowoods Memorial Health Center is 1073974465. It was assigned to this organization in the NPPES registry on March 11, 2016.

Where is Elbowoods Memorial Health Center located?

Elbowoods Memorial Health Center is located at 1058 College Dr, New Town, ND 58763. The listed phone number is (701) 627-4750.

What is Elbowoods Memorial Health Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Elbowoods Memorial Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 35D0409250) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elbowoods Memorial Health Center was last updated on March 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.