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MADDOCK MEMORIAL HOME
NPI 1437573037
Assisted Living Facility in Maddock, ND

Active since February 18, 2014CLIA 35D0992421 · Waiver
301 ROOSEVELT AVE, MADDOCK, ND 58348(701) 438-2641(701) 438-2187 Get Directions Write a Review

NPPES record last updated: February 18, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Maddock Memorial Home NPPES

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

MADDOCK MEMORIAL HOME (NPI 1437573037) is a healthcare organization registered as an assisted living facility in Maddock, North Dakota and active in the NPI registry since February 2014. The organization holds a CLIA Waiver certificate valid through October 15, 2027 and lists Julie Nelson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1437573037
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMEMORIAL HOSPITAL ASSOCIATION
Location Address301 ROOSEVELT AVEMaddock, ND 58348-7138
Mailing Address301 Roosevelt Ave.Maddock, ND 58348 · (701) 438-2641 · Fax (701) 438-2187
Phone(701) 438-2641
Fax(701) 438-2187
Organization SubpartNo
Authorized OfficialJulie NelsonAdministrator · (701) 438-2641
Enumeration DateFebruary 18, 2014
✔ NPI 1437573037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in ND · 8024A
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
301 ROOSEVELT AVE, Maddock, ND 58348
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Other Names 1

Doing Business AsMaddock Memorial Home

Other Identifiers 1

Medicaid30710ND

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 35D0992421

Maddock Memorial Home · Maddock, ND
Active · expires Oct 15, 2027
CLIA Number35D0992421
Laboratory TypeOther
Certificate Effective DateOctober 16, 2025
Certificate Expiration DateOctober 15, 2027
Laboratory DirectorMya Ertelt
Laboratory Phone(701) 438-2641
Laboratory LocationMaddock Memorial Home301 Roosevelt Ave, Maddock, ND 58348
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

LINDA H ELLLINGSON PA-C
Physician Assistant
301 ROOSEVELT AVE
MADDOCK, ND 58348
Benson County (701) 438-2555
GOOD SAMARITAN HOSPITAL ASSOCIATION
Family Medicine
301 ROOSEVELT AVE
MADDOCK, ND 58348
Benson County (701) 438-2555

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 Memorial Hospital Association's NPI number?

The NPI number for Memorial Hospital Association is 1437573037. It was assigned to this organization in the NPPES registry on February 18, 2014. The provider is doing business as Maddock Memorial Home.

Where is Memorial Hospital Association located?

Memorial Hospital Association is located at 301 Roosevelt Ave, Maddock, ND 58348. The listed phone number is (701) 438-2641.

What is Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Memorial Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0992421) is associated with this NPI, valid through October 15, 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 Memorial Hospital Association was last updated on February 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.