Healthcare Provider Details

I. General information

NPI: 1598741381
Provider Name (Legal Business Name): NELSON-GRIGGS DISTRICT HEALTH UNIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2005
Last Update Date: 10/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 S MAIN ST
MCVILLE ND
58254-0365
US

IV. Provider business mailing address

116 S MAIN ST PO BOX 365
MCVILLE ND
58254-0365
US

V. Phone/Fax

Practice location:
  • Phone: 701-322-5624
  • Fax:
Mailing address:
  • Phone: 701-322-5624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JULIE FERRY
Title or Position: ADMINISTRATOR
Credential:
Phone: 701-322-5624