NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER (NPI# 1649761693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649761693 |
| Entity Type | Organization |
| Organization Name | NORTHLAND HEALTH PARTNERS COMMUNITY HEALTH CENTER |
| Other Organization Name | NORTHLAND HEALTH CENTER |
| Practice Address |
612 4th St East Williston ND 58802 |
| Mailing Address |
Po Box 535 Turtle Lake ND 58575-0535 |
| Practice Telephone | 7014482054 |
| Practice Fax Number | 7014482056 |
| Mailing Telephone | 7014482054 |
| Mailing Fax Number | 7014482056 |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | PATRICK BUTLER (CEO) |
| Authorized Official Telephone | 7014482054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1451561 | 05 |
| Other Name | Type Code |
|---|---|
| Northland Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679958755 | Northland Health Partners Community Health Center | Clinic/Center | 24 Railroad Ave Ste 16, Ray, ND 58849 | 2015-07-30 |
| 1629481841 | Northland Health Partners Community Health Center | Clinic/Center | 15 2nd Ave Sw Ste 110, Minot, ND 58701 | 2014-06-05 |
| 1174866271 | Northland Health Partners Community Health Center | Clinic/Center | 18 Main St Sw Ste B, Bowbells, ND 58721 | 2013-03-27 |
| 1689758039 | Northland Health Partners Community Health Center | Clinic/Center | 401 2nd Ave, Rolette, ND 58366 | 2006-10-24 |
| 1841723855 | Northland Health Partners Community Health Center | Clinic/Center | 914 S 12th St, Suite 101, Bismarck, ND 58504 | 2017-04-06 |
| 1588906770 | Northland Health Partners Community Health Center | Clinic/Center | 1600 2nd Ave Sw Ste 19, Minot, ND 58701 | 2013-03-26 |
| 1225369523 | Northland Health Partners Community Health Center | Clinic/Center | 114 3rd St Ne, Rolla, ND 58367 | 2010-01-26 |
| 1528142981 | Northland Health Partners Community Health Center | Clinic/Center | 122 E 2nd St, Mcclusky, ND 58463 | 2006-10-24 |
| 1457435802 | Northland Health Partners Community Health Center | Clinic/Center | 416 Kundert St, Turtle Lake, ND 58575 | 2006-10-24 |
| Street Address |
612 4TH ST EAST |
| City | WILLISTON |
| State | ND |
| Zip Code | 58802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316473341 | Jennifer Shepherd | Case Manager/Care Coordinator | 1135 2nd Avenue W Ste 202b, Williston, ND 58802 | 2017-05-11 |
| 1528370814 | Dale Aviation, Inc. | Ambulance | 401 W. 34th Street, Williston, ND 58802 | 2010-07-02 |
| 1205367885 | Sonia Monreal-luna Martinez | Counselor | 316 2nd Ave West, Williston, ND 58802 | 2017-03-24 |
| 1376797720 | Tamara E Hilton | Social Worker | 316 Nd Avenue West, Williston, ND 58802-1266 | 2008-11-12 |
| 1710042817 | Joseph E Adducci | Obstetrics & Gynecology | 1213 15th Ave W, Joseph E Adducci, Williston, ND 58802-2438 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507542 | Valerie Ann Snow | Technician | 5467 Laurice Ave, Williston, ND 58801-8724 | 2020-11-01 |
| 1427658566 | Jocelynn Maclean | Technician | 2205 25th St W, Apartment 13, Williston, ND 58801-5880 | 2020-10-28 |
| 1316546922 | Kenny A Hammer | Home Health Aide | 3807 22nd Ave W, Williston, ND 58801-2439 | 2020-10-23 |
| 1891393724 | Melissa Lawrence | Technician | 13821 60th St Nw, Williston, ND 58801-8937 | 2020-10-13 |
| 1780281048 | Opportunity Foundation Inc | Community/Behavioral Health | 1814 21st Ave W, Williston, ND 58801-6523 | 2020-10-08 |
| 1427655786 | Opportunity Foundation Inc | Community/Behavioral Health | 526 Reclamation Dr, Williston, ND 58801-5669 | 2020-10-08 |
| 1134726870 | Opportunity Foundation Inc | Community/Behavioral Health | 701 8th St E, Williston, ND 58801-5630 | 2020-10-06 |
| 1588271977 | Rachel D. Oblak | Counselor | 8031 Williston Rd. Suite 2, Williston, VT 05495 | 2020-09-29 |
| 1437766581 | Sandra Maddox | Technician, Pathology | 178 Holland Ln Apt 106, Williston, VT 05495-7976 | 2020-09-23 |
| 1629682174 | Maya Kunigis | Counselor | 334 Southridge Rd, Williston, VT 05495-5238 | 2020-09-02 |
| Find all providers in WILLISTON | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922468826 | Low Country Health Care System | Clinic/Center | 13975 Church St, Williston, SC 29853-5835 | 2016-03-04 |
| 1255577631 | Trenton Medical Center Inc | Clinic/Center | 630 N Main St, Williston, FL 32696-1705 | 2009-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841701877 | Family Health Care Center | Clinic/Center | 4025 9th Ave S, Fargo, ND 58103-2101 | 2017-10-17 |
| 1114478823 | Community Health Service Inc. | Clinic/Center | 1113 W 11th St, Grafton, ND 58237-2139 | 2016-10-18 |
| 1962863324 | Family Health Care Center | Clinic/Center | 726 13th Ave E, West Fargo, ND 58078-3304 | 2016-03-14 |
| 1841658887 | Coal Country Community Health Center | Clinic/Center | 510 8th Ave Nw, Hazen, ND 58545-4638 | 2016-02-05 |
| 1679958755 | Northland Health Partners Community Health Center | Clinic/Center | 24 Railroad Ave Ste 16, Ray, ND 58849 | 2015-07-30 |
| 1629481841 | Northland Health Partners Community Health Center | Clinic/Center | 15 2nd Ave Sw Ste 110, Minot, ND 58701 | 2014-06-05 |
| 1174866271 | Northland Health Partners Community Health Center | Clinic/Center | 18 Main St Sw Ste B, Bowbells, ND 58721 | 2013-03-27 |
| 1689878324 | Spectra Health | Clinic/Center | 212 S 4th St, Suite 101, Grand Forks, ND 58201-4777 | 2007-06-14 |
| 1609945781 | Family Health Care Center | Clinic/Center | 301 Np Ave, Fargo, ND 58102 | 2006-11-06 |
| 1689758039 | Northland Health Partners Community Health Center | Clinic/Center | 401 2nd Ave, Rolette, ND 58366 | 2006-10-24 |
| 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.