JACOBSON MEMORIAL HOSPITAL CARE CENTER NPI 1871691519

NPI Information

NPI: 1871691519
Provider Name: JACOBSON MEMORIAL HOSPITAL CARE CENTER

Doing Business As: ELGIN COMMUNITY CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
603 EAST ST N
ELGIN, ND
ZIP 58533
Phone: (701) 584-2792
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JACOBSON MEMORIAL HOSPITAL CARE CENTER is a rural health clinic center in Elgin, ND. JACOBSON MEMORIAL HOSPITAL CARE CENTER NPI is 1871691519. The provider is registered as an organization entity type.
The provider Is Doing Business As Elgin Community Clinic.

The provider's business location address is:

603 EAST ST N
ELGIN, ND
ZIP 58533-105
Phone: (701) 584-2792
Fax: (701) 584-3348

The provider's authorized official is James Opdahl .
The authorized official title is Ceo and has the following contact phone number (701) 584-2792.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 8/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	015169	MEDICAID	NORTH DAKOTA
2	N711235	MEDICARE PIN	NORTH DAKOTA
3	06043002	OTHER	NORTH DAKOTA	BCBS-ELGIN RHC
4	353442	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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