DICKEY COUNTY HEALTH DISTRICT
NPI 1063613438
Public Health or Welfare in Ellendale, ND

NPI Status: Active since May 31, 2007

Contact Information

205 15TH STREET NORTH
ELLENDALE, ND
ZIP 58436
Phone: (701) 349-4348
Fax: (701) 349-3277

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  • Organization
  • Public Health or Welfare
  • Accepts Insurance
  • CLIA Number: 35D2035549
  • CLIA Cert. Type: Public Health Laboratories
  • CLIA Exp. Date: 01-18-2026

About DICKEY COUNTY HEALTH DISTRICT

This page provides the complete NPI Profile along with additional information for Dickey County Health District, a provider established in Ellendale, North Dakota operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1063613438 assigned on May 2007. The practitioner's primary taxonomy code is 251K00000X with license number AN7413254 (ND). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Dickey County Health District. The authorized official of this NPI record is Roxanne M Holm (Administrator)

NPI
1063613438
Provider Legal Name
COUNTY OF DICKEY
Other Organization Name
DICKEY COUNTY HEALTH DISTRICT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
205 15TH STREET NORTH ELLENDALE, ND 58436
Location Phone
(701) 349-4348
Location Fax
(701) 349-3277
Mailing Address
PO BOX 238 ELLENDALE, ND 58436
Mailing Phone
(701) 349-4348
Mailing Fax
(701) 349-3277
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2007
Last Update Date
01-07-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies
License No.
AN7413254
License State
ND

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
  • BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
  • BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
  • BlueEssential Catastrophic 100 $9200 Deductible - PPO
  • BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
  • BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
  • BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
  • DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
  • DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROXANNE M HOLM

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(701) 349-4348

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
71033MEDICARE ID-TYPE UNSPECIFIED (04)ND 
51756MEDICAID (05)ND 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Adm sarscov2 50mcg/0.25mlbst

This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.

This service was performed 203 times for 196 patients

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 279 times for 277 patients

Administration of pneumococcal vaccine

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

This service was performed 46 times for 46 patients

Fee covid-19 vac 13 res

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

This service was performed 237 times for 236 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 214 times for 213 patients

Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage

The quadrivalent inactivated influenza vaccine is a shot given to protect against four strains of the flu virus. This 0.5 ml dosage helps your body develop immunity to the virus. It's an important step in preventing flu-related complications.

This service was performed 52 times for 52 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

This service was performed 13 times for 12 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

This service was performed 32 times for 32 patients

Pneumococcal vaccine, 23-valent

The 23-valent pneumococcal vaccine is an injection that helps protect against serious infections caused by 23 types of pneumococcal bacteria. It's vital for those at risk, like older adults or people with certain health conditions, to prevent pneumonia, meningitis, and bloodstream infections.

This service was performed 13 times for 13 patients

Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use

The COVID-19 mRNA vaccine is a shot that boosts your body's natural defenses against the virus. It contains a small piece of the virus's spike protein, which triggers your immune system to build a response. It's free of preservatives, given in a 100 mcg dose, and is injected into a muscle.

This service was performed 159 times for 157 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
35D2035549
Facility Type
Public Health Laboratories
Certificate Effective Date
January 19, 2024
Certificate Expiration Date
January 18, 2026
Laboratory Director
ROXANNE M. HOLM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dickey County Health District to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DICKEY COUNTY HEALTH DISTRICT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1063613438
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20123121646
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 1 + 6 + 4 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1063613438 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063613438, enumerated in the NPI registry as an "organization" on May 31, 2007

The provider is located at 205 15th Street North Ellendale, Nd 58436 and the phone number is (701) 349-4348

This medical organization specializes in Public Health or Welfare with taxonomy code 251K00000X

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Adm sarscov2 50mcg/0.25mlbst, Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Fee covid-19 vac 13 res, Influenza vaccine split virus, preservative free, Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage, Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage, Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use, Pneumococcal vaccine, 23-valent and Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage, for intramuscular use.

The provider's CLIA number is 35D2035549 for a "public health laboratories" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 31, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.