Organization
NELSON COUNTY HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE D BOWERSOX (ADMINISTRATOR)
(701) 322-4328
Entity
Organization
Contact information
Practice address
108 NORTH MAIN STREET, MCVILLE, ND 58254-0307
(701) 322-4347
(701) 322-2244
Mailing address
PO BOX 307, MCVILLE, ND 58254-0307
(701) 322-4347
(701) 322-2244
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004572
RURAL HEALTH CLINIC
ND
05
—
005005
—
ND
05
—
016279
—
ND
01
—
301001
BLUE CROSS BLUE SHIELD
ND
Enumeration date
12/13/2006
Last updated
05/07/2014
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