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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