MEDICARE: NELSON-GRIGGS DISTRICT HEALTH UNIT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598741381
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NELSON-GRIGGS DISTRICT HEALTH UNIT

Provider Business Mailing Address
First Line	:	116 S MAIN ST
Second Line	:	PO BOX 365
City	:	MCVILLE
State	:	ND
Zip	:	58254-0365
Country	:	US
Telephone Number	:	701-322-5624
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 S MAIN ST
Second Line	:
City	:	MCVILLE
State	:	ND
Zip	:	58254-0365
Country	:	US
Telephone Number	:	701-322-5624
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JULIE FERRY
Credential	:
Telephone Number	:	701-322-5624

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	10/10/2007

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