# NELSON COUNTY HEALTH SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992869770
- **Authorized official:** MR. BRUCE D BOWERSOX (ADMINISTRATOR)
- **Authorized official phone:** (701) 322-4328

## Contact information

- **Practice address:** 108 E NYHUS AVE, MCVILLE, ND 58254-4110
- **Practice address phone:** (701) 322-4314
- **Practice address fax:** (701) 322-5533
- **Mailing address:** 108 E NYHUS AVE, MCVILLE, ND 58254-4110
- **Mailing address phone:** (701) 322-4314
- **Mailing address fax:** (701) 322-5533

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 1040B | ND | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 05/07/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001263 | BLUE CROSS BLUE SHIELD | ND |
| 05 | — | 030384 | — | ND |