NPIMap

Kallie Gruman

Individual provider Active NPI Case Manager/Care Coordinator · Valley City, ND

NPI 1073330775 · NPPES record last updated Apr 28, 2025

Key facts

NPI
1073330775
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
415 2ND Ave NE Ste 101
Valley City, ND 58072-3060
Phone
(701) 845-8518
NPI assigned
Sep 24, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
City County Health District Current Accepting new patients
City County Health District Current Accepting new patients
Advocates for Change Past
since Sep 29, 2024		 Accepting new patients
Community Uplift Program Past
since Sep 29, 2024		 Accepting new patients

Locations

415 2nd Ave NE
Ste 101
Valley City, ND 58072
Phone (701) 845-8518

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X
Peer Specialist 175T00000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

415 2ND Ave NE Ste 101
Valley City, ND 58072-3060

Mailing address

415 2ND Ave NE Ste 101
Valley City, ND 58072-3060
Phone (701) 845-8518

Other providers in Valley City, ND

All providers in Valley City, ND · Case Manager/Care Coordinator in North Dakota

Sources for this page

Verify at the official NPI Registry.