Country Estates

LBN: 4000 Valley Square Inc
Country Estates is an health care organization with primary practice located at 4000 24Th Ave S , Grand Forks ND 58201-8863. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. 4000 Valley Square Inc can be contacted via phone (701) 787-7500, or through Anderson, Megan via phone (701) 787-7970.

Contact Information

Primary practice address
4000 24Th Ave S Grand Forks ND 58201-8863
Phone: (701) 787-7500
Fax: (701) 787-7822
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Megan
Phone: (701) 787-7970

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 1077A North Dakota

Profile Details

NPI number 1275627184
LBN Legal business name 4000 Valley Square Inc
DBA Doing business as Country Estates
Authorized official Anderson, Megan
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Aug 22nd, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275627184 NPPES
North Dakota MEDICAID 03-0201

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