# GRIGGS COUNTY NURSING HOME

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Griggs County Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144500596
- **Authorized official:** NICOLE JOHNSON (ACTING ADMINISTRATOR)
- **Authorized official phone:** (701) 797-2221

## Contact information

- **Practice address:** 1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425-7101
- **Practice address phone:** (701) 797-2221
- **Practice address fax:** (701) 797-2421
- **Mailing address:** 1200 ROBERTS AVE NE, COOPERSTOWN, ND 58425-7101
- **Mailing address phone:** (701) 797-2221
- **Mailing address fax:** (701) 797-2421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1012A | ND | Yes |

## Other

- **Enumeration date:** 08/17/2011
- **Last updated:** 04/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1107 | BLUE CROSS BLUE SHIELD | ND |
| 05 | — | 30509 | — | ND |