Organization · Type 2 NPI

Jacobson Memorial Hospital Care Center

Rural Health Clinic/Center · Glen Ullin, ND

NPI number 1003929944 Active

Practice location

602 Ash Ave E
Glen Ullin, ND 58631

Call (701) 584-2792 Map

Mailing address

PO Box 367
Elgin, ND 58533-0367

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Tyrone Langager, MDFamily Medicine Physician Glen Ullin, ND NPI 1992822464

NPI record

NPI: 1003929944
Entity type: Organization (Type 2)
Issued: Aug 16, 2006
Last updated: Jan 26, 2026
Status: Active
Subpart: Yes of Jacobson Memorial Hospital Care Center

Other names

<unavail>
Glen Ullin Family Medical Clinic · doing business as

Authorized official

Kristin Heid
CEO
(701) 584-7205

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003929944

Jacobson Memorial Hospital Care Center's National Provider Identifier is 1003929944, issued on Aug 16, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Glen Ullin, ND. The record was last updated on Jan 26, 2026.