Organization Name: | ELBOWOODS MEMORIAL HEALTH CENTER |
NPI Number: | 1841654951 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHRYN EAGLE (CEO) |
Mailing Address: | 1058 College Dr New Town |
State: | ND US |
Postal Code: | 587639112 |
Phone Number: | 7016274750 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2016 |
NPI Last Update Date: | 04/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |