Healthcare Provider Details

I. General information

NPI: 1306772314
Provider Name (Legal Business Name): HOLLY GAUGLER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 EAST ST N
ELGIN ND
58533-7105
US

IV. Provider business mailing address

601 EAST ST N
ELGIN ND
58533-7105
US

V. Phone/Fax

Practice location:
  • Phone: 701-584-2792
  • Fax:
Mailing address:
  • Phone: 701-584-2792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: