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Organization
GRIGGS COUNTY NURSING HOME
Active
Organization
GRIGGS COUNTY NURSING HOME
Active
Other names
Griggs County Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JOHNSON (ACTING ADMINISTRATOR)
(701) 797-2221
Entity
Organization
Contact information
Practice address
1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425-7101
(701) 797-2221
(701) 797-2421
Mailing address
1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425-7101
(701) 797-2221
(701) 797-2421
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1012A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1107
BLUE CROSS BLUE SHIELD
ND
05
—
30509
—
ND
Enumeration date
08/17/2011
Last updated
04/03/2014
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