Organization Active NPI

Nelson County Health System

Doing business as Nelson County Health System Care Center

  • Home Health Agency
  • McVille, ND
National Provider Identifier
1639765118
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NELSON COUNTY HEALTH SYSTEM
Doing business as
Nelson County Health System Care Center
Practice address
108 E Nyhus Ave
McVille, ND 58254-4110
Phone
(701) 322-4314
Fax
(701) 322-5533
NPI assigned
Dec 18, 2020
Last updated
Dec 18, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
NELSON COUNTY HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Authorized official

Name
Steve Forde
Title
Ceo
Phone
(701) 322-4328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

108 E Nyhus Ave
McVille, ND 58254-4110

Mailing address

PO Box 367
McVille, ND 58254-0367
Phone (701) 322-4328

Other identifiers 1

IdentifierTypeStateIssuer
1456521MedicaidND

Other names 1

  • Nelson County Health System Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grand Forks Clinic MCV4 organizations share this tax ID, including this one
Part of
Grand Forks Clinic MCV

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

108 E Nyhus Ave
McVille, ND 58254
Phone (701) 322-4314

NPI Registry JSON

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1639765118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "MCVILLE",
            "state": "ND",
            "postal_code": "582540367",
            "telephone_number": "701-322-4328",
            "fax_number": "701-322-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E NYHUS AVE",
            "city": "MCVILLE",
            "state": "ND",
            "postal_code": "582544110",
            "telephone_number": "701-322-4314",
            "fax_number": "701-322-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON COUNTY HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NELSON COUNTY HEALTH SYSTEM",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "FORDE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "701-322-4328"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456521",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson County Health System Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McVille, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.