Active NPI
Nelson County Health System
Doing business as Nelson County Health System Care Center
- Home Health Agency
- McVille, ND
National Provider Identifier
1639765118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2020
- Organization subpart
- Yes
- Parent organization
- NELSON COUNTY HEALTH SYSTEM
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1456521 | Medicaid | ND |
Other names 1
- Nelson County Health System Care Center
National Provider Directory
National Provider Directory- Tax ID family
- Grand Forks Clinic MCV
- 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.
-
- Rural Health Clinic/Center
- Lakota, ND
- NPI 1609705250
-
- Clinic/Center
- McVille, ND
- NPI 1770161770
-
- Skilled Nursing Facility
- McVille, ND
- NPI 1992869770
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
- Darlene C Kelly, ARNP
- Erling D Martinson
- McVille Community Ambulance Services (McVille Community Ambulance)
- Nelson County Health System
- Nelson County Health System
- Nelson County Health System
- Nelson County Health System
- Nelson County Health System
- Nelson-Griggs District Health Unit
- Outlook Chiropractic
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.