JACOBSON MEMORIAL HOSPITAL CARE CENTER (NPI# 1376651463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376651463 |
| Entity Type | Organization |
| Organization Name | JACOBSON MEMORIAL HOSPITAL CARE CENTER |
| Other Organization Name | HEBRON COMMUNITY CLINIC |
| Practice Address |
811 Main St Hebron ND 58638 |
| Mailing Address |
601 East St N Elgin ND 58533-7105 |
| Practice Telephone | 7018784250 |
| Practice Fax Number | 7018784346 |
| Mailing Telephone | 7015842792 |
| Mailing Fax Number | 7015843348 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | JAMES OPDAHL (CEO) |
| Authorized Official Telephone | 7015842792 |
| Is Organization Subpart | Y |
| Parent Organization Name | JACOBSON MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | BCBS - HEBRON RHC | 06043001 | 01 |
| ND | 05170 | 05 |
| Other Name | Type Code |
|---|---|
| Hebron Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043649486 | Jacobson Memorial Hospital Care Center | Clinic/Center | 215 3rd Ave W, Richardton, ND 58652-7109 | 2013-11-06 |
| 1629165915 | Jacobson Memorial Hospital Care Center | Skilled Nursing Facility | 601 E Street N, Elgin, ND 58533 | 2006-10-06 |
| 1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
| 1003929944 | Jacobson Memorial Hospital Care Center | Clinic/Center | 602 Ash Ave E, Glen Ullin, ND 58631 | 2006-08-16 |
| 1336196039 | Jacobson Memorial Hospital Care Center | General Acute Care Hospital | 601 East St N, Elgin, ND 58533-7105 | 2006-05-28 |
| 1184002347 | Jacobson Memorial Hospital Care Center | Long Term Care Hospital | 601 East St N, Elgin, ND 58533-7105 | 2015-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JACOBSON MEMORIAL HOSPITAL CARE CENTER | 601 East St N, Elgin, ND 58533-7105 |
| Street Address |
811 MAIN ST |
| City | HEBRON |
| State | ND |
| Zip Code | 58638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952502387 | Roger Ferdinand Leutz | Dentist | 811 & One Half Main Street, Hebron, ND 58638 | 2007-05-31 |
| 1518041821 | Family Chiropractic Center PC | Chiropractor | 811 1/2 Main, Hebron, ND 58638-0041 | 2006-10-24 |
| 1376141580 | Kimberly M Miller | Technician | 421 S Elk St, Hebron, ND 58638-7003 | 2020-10-12 |
| 1184196933 | Hebron Ambulance Service District | Ambulance | 620 Washington Ave, Hebron, ND 58638-7018 | 2018-12-18 |
| 1003935024 | Hebron Fire Protection District | Ambulance | 620 Washington Ave, Hebron, ND 58638-7018 | 2007-03-29 |
| 1386244853 | Wendy B Krieg | Technician | 712 Washington Ave, Hebron, ND 58638-7019 | 2020-10-26 |
| 1992126007 | Hometown Wellness, PC | Chiropractor | 725 Main St, Hebron, ND 58638-7056 | 2013-12-17 |
| 1902059926 | Sandee Joy Funk | Chiropractor | 725 Main St, Hebron, ND 58638-7056 | 2008-11-04 |
| 1982651725 | Lynda B Hoerauf | Nurse Practitioner | 811 Main Ave, Hebron, ND 58638-7057 | 2006-05-27 |
| 1629679535 | Violet Sease | Technician | 909 Main St, Hebron, ND 58638-7125 | 2020-11-06 |
| Find all providers in zip 58638 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797986 | Dedicated Family Health | Clinic/Center | 117 N Main St, Hebron, IN 46341-8971 | 2018-10-30 |
| 1558347575 | Thayer County Memorial Hospital | Clinic/Center | 120 Park Ave, Hebron, NE 68370-2019 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963274 | Nelson County Health System | Clinic/Center | 115 South St E, Michigan, ND 58259-4120 | 2020-08-21 |
| 1821637828 | Christian Unity Hospital Corporation | Clinic/Center | 503 Park St W Ste B, Park River, ND 58270-4138 | 2019-12-23 |
| 1023550118 | Northwood Deaconess Health Center | Clinic/Center | 308 Whinery Street, Binford, ND 58416 | 2016-11-07 |
| 1689085797 | Northwood Deaconess Health Center | Clinic/Center | 611 Towner Ave, Larimore, ND 58251 | 2014-05-12 |
| 1043649486 | Jacobson Memorial Hospital Care Center | Clinic/Center | 215 3rd Ave W, Richardton, ND 58652-7109 | 2013-11-06 |
| 1700064599 | Rolla Eye Clinic | Clinic/Center | 118 3rd St. Ne, Rolla, ND 58367-1170 | 2008-02-05 |
| 1891859948 | Nelson County Health System | Clinic/Center | 117 2nd St West, Lakota, ND 58344 | 2006-12-21 |
| 1760570394 | West River Health Services | Clinic/Center | 211 Main Street, Scranton, ND 58653 | 2006-10-10 |
| 1942398508 | West River Health Services | Clinic/Center | 420 Pacific Ave, Mott, ND 58646 | 2006-10-10 |
| 1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.