NPIMap

Organization Active NPI

Nelson County Health System

  • Skilled Nursing Facility
  • McVille, ND
National Provider Identifier
1992869770
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1040B Issued in ND
Legal business name
NELSON COUNTY HEALTH SYSTEM
Practice address
108 E Nyhus Ave
McVille, ND 58254-4110
Phone
(701) 322-4314
Fax
(701) 322-5533
NPI assigned
Dec 19, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Bruce D Bowersox
Title
Administrator
Phone
(701) 322-4328

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 3

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

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Nelson County Health System Care CenterCCN 355052
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
Government - City
Certified
Apr 1, 1980
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
3532.0 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $36,855

Processed by Care Compare on Aug 1, 2026.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050427000680 ND Part a Provider - Skilled Nursing Facility 5597658104 Practice locations: McVille, ND

Skilled nursing facility certification: CCN 355052

Medicare enrollment files
Legal name
NELSON COUNTY HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1980
Last certification
Apr 1, 2025
Beds
35
Ownership / control type
Other Nonprofit
Organization structure
CorporationNon-profit
Incorporated
May 26, 1947 in ND
Enrollment address
108 E Nyhus Ave
McVille, ND 58254-4110
Nursing home name
NELSON COUNTY HEALTH SYSTEM CARE CENTER

All disclosed owners & managing parties 10

Medicare enrollment files

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

NameRoleSinceShare
Ranae Oxton Individual Corporate DirectorBoard Member Nov 6, 2011
Steven K Forde Individual Operational/Managerial ControlCfo Sep 19, 2016 100%
Brandon Lundeby Individual Corporate DirectorBoard Member Nov 6, 2011
Brandon Jensen Individual Corporate Director Nov 7, 2013
Nelson County Health System Organization, McVille, ND Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2010 100%
Heather Stein Individual Corporate DirectorBoard Member Nov 24, 2014
Angela Twete Individual Corporate DirectorDirector Nov 24, 2014
Catherine Swenson Individual W-2 Managing EmployeeAdministrator Oct 14, 2015
Ivan Berg Individual Corporate DirectorBoard Member Nov 6, 2011
Judith Twete Individual Corporate DirectorBoard Member Nov 6, 2011

National Provider Directory

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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1040B ND Primary

Addresses

NPPES NPI Registry

Primary practice location

108 E Nyhus Ave
McVille, ND 58254-4110

Mailing address

108 E Nyhus Ave
McVille, ND 58254-4110
Phone (701) 322-4314

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
030384MedicaidND
001263OtherNDBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2014.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1992869770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "BOWERSOX",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-322-4328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ND",
            "license": "1040B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030384",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001263",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McVille, ND

Sources for this page

Verify at the official NPI Registry.