NPIMap

Organization Active NPI

Nelson County Health System

  • Rural Health Clinic/Center
  • McVille, ND
National Provider Identifier
1578624136
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NELSON COUNTY HEALTH SYSTEM
Practice address
108 North Main Street
McVille, ND 58254-0307
Phone
(701) 322-4347
Fax
(701) 322-2244
NPI assigned
Dec 13, 2006
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jill M Trostad
Title
Cfo
Phone
(701) 322-2226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X ND Primary

Addresses

Primary practice location

108 North Main Street
McVille, ND 58254-0307

Mailing address

PO Box 307
McVille, ND 58254-0307
Phone (701) 322-4347

Other identifiers 4

IdentifierTypeStateIssuer
301001OtherNDBLUE CROSS BLUE SHIELD
016279MedicaidND
005005MedicaidND
004572OtherNDRURAL HEALTH CLINIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040206000390 ND Part B Supplier - Clinic/Group Practice 5597658104 Receives reassigned benefits from 10 practitioners
1 other NPI on this enrollment
Practice locations: Michigan, ND; McVille, ND
O20050427000698 ND Part A Provider - Rural Health Clinic 5597658104 Practice locations: McVille, ND

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578624136. Details of each certification follow.

Rural health clinic certification: CCN 353977

Legal name
NELSON COUNTY HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 6, 1990
Last certification
Jan 29, 2020
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
May 26, 1947 in ND
Enrollment address
108 N Main St
McVille, ND 58254-4203
Related CCNs
350779

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Samantha Harding Individual W-2 Managing Employee Jan 1, 2022
Steven K Forde Individual W-2 Managing EmployeeCfo Jan 1, 2022
Brandon Lundeby Individual Corporate DirectorBoard Member Nov 4, 2012
Nancy Charles Individual Corporate Officer Jan 1, 2021
Brandon Jensen Individual Corporate DirectorBoard Member Nov 7, 2013
Amie Vasichek Individual Corporate Officer Jan 1, 2022
Tanya Swenson Individual Corporate Officer Jan 1, 2022
Ivan Berg Individual Corporate DirectorBoard Member Nov 6, 2011
Doris Forde Individual Corporate Officer Jan 1, 2020
Delores Lillehaugen Individual Corporate Officer Jan 1, 2018

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nelson County Health SystemMcVille, ND, CCN 355052 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1578624136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "MCVILLE",
            "state": "ND",
            "postal_code": "582540307",
            "telephone_number": "701-322-4347",
            "fax_number": "701-322-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NORTH MAIN STREET",
            "city": "MCVILLE",
            "state": "ND",
            "postal_code": "582540307",
            "telephone_number": "701-322-4347",
            "fax_number": "701-322-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON COUNTY HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "TROSTAD",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-322-2226"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "ND",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "301001",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016279",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005005",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH CLINIC",
            "identifier": "004572",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McVille, ND

Sources for this page

Verify at the official NPI Registry.