NPI 1093176489 · live from the CMS NPI Registry
Elbowoods Memorial Health Center
Physician Assistant in New Town, ND. National Provider Identifier 1093176489, active.
NPI record
| NPI | 1093176489 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1058 College Dr, New Town, ND 58763 |
| Practice phone | 710-627-4750 |
| Enumerated | March 11, 2016 |
| Last updated | March 11, 2016 |
| Authorized official | Kathryn Eagle, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.