Organization
THREE AFFILIATED TRIBES KIDNEY DIALYSIS UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH MARIE LONE BEAR (DIRECTOR)
(701) 627-4840
Entity
Organization
Contact information
Practice address
1250 ELBOWOODS LOOP, NEW TOWN, ND 58763
(701) 627-4840
(701) 627-4842
Mailing address
1250 ELBOWOODS LOOP, NEW TOWN, ND 58763
(701) 627-4840
(701) 627-4842
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09613
BLUE CROSS BLUE SHIELD
ND
05
—
1476489
—
ND
01
—
57787
MEDICAID TRANSPORTATION
ND
Enumeration date
08/11/2006
Last updated
01/16/2026
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