Organization
JACOBSON MEMORIAL HOSPITAL CARE CENTER
Active
Parent organization
JACOBSON MEMORIAL HOSPITAL CARE CENTER
Other names
Glen Ullin Family Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACOBSON MEMORIAL HOSPITAL CARE CENTER
Authorized official
KRISTIN HEID (CEO)
(701) 584-7205
Entity
Organization
Contact information
Practice address
602 ASH AVE E, GLEN ULLIN, ND 58631
(701) 584-2792
Mailing address
PO BOX 367, ELGIN, ND 58533-0367
(701) 584-2792
(701) 584-2229
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06043003
BLUE CROSS - RHC
ND
05
—
1458638
—
ND
05
—
5177
—
ND
Enumeration date
08/16/2006
Last updated
01/26/2026
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