Organization Name: | ELBOWOODS MEMORIAL HEALTH CENTER |
NPI Number: | 1831365519 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN BERG (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 1058 College Drive New Town |
State: | ND US |
Postal Code: | 58763 |
Phone Number: | 7016274750 |
Fax Number: | 7016272809 |
NPI Enumeration Date: | 05/02/2008 |
NPI Last Update Date: | 11/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP0904X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Public Health, Federal |
Taxonomy Definition: |