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 E NYHUS AVE, MCVILLE, ND 58254-4110
(701) 322-4314
(701) 322-5533
Mailing address
108 E NYHUS AVE, MCVILLE, ND 58254-4110
(701) 322-4314
(701) 322-5533
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1040B
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001263
BLUE CROSS BLUE SHIELD
ND
05
—
030384
—
ND
Enumeration date
12/19/2006
Last updated
05/07/2014
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