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General NPI Number Information
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NPI Number | 1831365519
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Entity Type | Organization
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Legal Business Name | ELBOWOODS MEMORIAL HEALTH CENTER
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 1251 ELBOWOODS LOOP
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City | NEW TOWN
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State | ND
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Zip | 58763
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Country | US
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Telephone | 701-627-4750
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Fax | 701-627-2809
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Provider Business Mailing Address
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Address Line | 1251 ELBOWOODS LOOP
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City | NEW TOWN
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State | ND
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Zip | 58763
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Country | US
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Telephone | 701-627-4750
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Fax | 701-627-2809
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | KATHRYN EAGLE
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Credential |
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Telephone | 701-627-4750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0904X
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Taxonomy Name | Federal Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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