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

NPI Status: Active since March 11, 2016

Contact Information

1058 COLLEGE DR
NEW TOWN, ND
ZIP 58763
Phone: (701) 627-4750

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 35D0409250
  • CLIA Cert. Type: Other - TRIBAL HEALTH FACILITY
  • CLIA Exp. Date: 09-20-2026

About ELBOWOODS MEMORIAL HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Elbowoods Memorial Health Center, a provider established in New Town, North Dakota operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1073974465 assigned on March 2016. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Elbowoods Memorial Health Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kathryn Eagle (Ceo)

NPI
1073974465
Provider Name
ELBOWOODS MEMORIAL HEALTH CENTER
Entity Type
Organization
Location Address
1058 COLLEGE DR NEW TOWN, ND 58763
Location Phone
(701) 627-4750
Mailing Address
1058 COLLEGE DR NEW TOWN, ND 58763
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-11-2016
Last Update Date
03-11-2016
Code Navigator

A nurse practitioner (NP) like Elbowoods Memorial Health Center is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATHRYN EAGLE

Authorized Official Title
CEO
Authorized Official Phone
(701) 627-4750

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
35D0409250
Facility Type
Other - TRIBAL HEALTH FACILITY
Certificate Effective Date
September 21, 2024
Certificate Expiration Date
September 20, 2026
Laboratory Director
MICHAEL JONES
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Elbowoods Memorial Health Center after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073974465, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 8 + 7 + 8 + 4 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1073974465.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
1058 COLLEGE DR
NEW TOWN, ND 58763
Dentist (Dental Public Health)
1058 COLLEGE DR
NEW TOWN, ND 58763
Pediatrics
1058 COLLEGE DR
NEW TOWN, ND 58763
Registered Nurse
1058 COLLEGE DR
NEW TOWN, ND 58763
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
1058 COLLEGE DR
NEW TOWN, ND 58763
Family Medicine
1058 COLLEGE DR
NEW TOWN, ND 58763
Registered Nurse
1058 COLLEGE DR
NEW TOWN, ND 58763
Physician Assistant
1058 COLLEGE DR
NEW TOWN, ND 58763
Dentist
1058 COLLEGE DR
NEW TOWN, ND 58763
Optometrist
1058 COLLEGE DR
NEW TOWN, ND 58763
Dietetic Technician, Registered
1058 COLLEGE DR
NEW TOWN, ND 58763
General Practice
1058 COLLEGE DR
NEW TOWN, ND 58763
Psychologist
1058 COLLEGE DR
NEW TOWN, ND 58763
Nutritionist (Nutrition, Education)
1058 COLLEGE DR
NEW TOWN, ND 58763
Registered Nurse (Diabetes Educator)
1058 COLLEGE DR
NEW TOWN, ND 58763
Psychologist (Clinical)
1058 COLLEGE DR
NEW TOWN, ND 58763
Psychiatry & Neurology (Psychiatry)
1058 COLLEGE DR
NEW TOWN, ND 58763
Counselor
1058 COLLEGE DR
NEW TOWN, ND 58763
Registered Nurse (Case Management)
1058 COLLEGE DR
NEW TOWN, ND 58763
Registered Nurse
1058 COLLEGE DR
NEW TOWN, ND 58763

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073974465, enumerated as an "organization" on March 11, 2016.

The provider is located at 1058 COLLEGE DR NEW TOWN, ND 58763 and the phone number is (701) 627-4750.

Nurse Practitioner with taxonomy code 363L00000X.