4Th Corporation

LBN: 4Th Corporation
4Th Corporation is an health care organization with primary practice located at 120 11Th St N , New Rockford ND 58356-1434. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. 4Th Corporation can be contacted via phone (701) 947-2147, or through Keller, Kodi via phone (701) 947-2147.

Contact Information

Primary practice address
120 11Th St N New Rockford ND 58356-1434
Phone: (701) 947-2147
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Keller, Kodi
Phone: (701) 947-2147

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X ND01161 North Dakota

Profile Details

NPI number 1750559035
LBN Legal business name 4Th Corporation
DBA Doing business as
Authorized official Keller, Kodi
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2008
Last updated Feb 20th, 2008 - about 16 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 1750559035 NPPES
North Dakota MEDICAID 30809

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