HEBRON COMMUNITY CLINIC – NPI #1376651463
Clinic/Center

HEBRON COMMUNITY CLINIC is an AHC clinic located in HEBRON, ND. NPPES has assigned the NPI number 1376651463 to HEBRON COMMUNITY CLINIC on August 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HEBRON COMMUNITY CLINIC” is a dba name, the actual legal business name for this organization is JACOBSON MEMORIAL HOSPITAL CARE CENTER. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was previously updated about 18 years ago on Aug 12, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEBRON COMMUNITY CLINIC below.

NPI Profile for
JACOBSON MEMORIAL HOSPITAL CARE CENTER

NPI Number
1376651463
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JACOBSON MEMORIAL HOSPITAL CARE CENTER
Doing Business As (dba): HEBRON COMMUNITY CLINIC
Primary location
811 MAIN ST
HEBRON, ND 58638
Phone: (701) 878-4250 Fax: (701) 878-4346
Mailing address
601 EAST ST N
ELGIN, ND 58533-7105
Phone: (701) 584-2792 Fax: (701) 584-3348
Organization Subpart
Yes - HEBRON COMMUNITY CLINIC is subpart of another organization.
Authorized Official
JAMES OPDAHL
CEO
Phone: (701) 584-2792
Updated
Identifiers

Identifiers for HEBRON COMMUNITY CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS - HEBRON RHCND06043001
MEDICAIDND05170
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.