Good Shepherd Home

LBN: Mckenzie County Healthcare Systems Inc
Good Shepherd Home is an health care organization with primary practice located at 709 4Th Ave Ne , Watford City ND 58854-7628. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Custodial Care Facility, which is considered as the primary health care specialty. Mckenzie County Healthcare Systems Inc can be contacted via phone (701) 444-2331, or through Kelly, Daniel R. via phone (701) 842-3000.

Contact Information

Primary practice address
709 4Th Ave Ne Watford City ND 58854-7628
Phone: (701) 444-2331
Fax: (701) 444-4629
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Daniel R.
Phone: (701) 842-3000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Custodial Care Facility 311Z00000X

Profile Details

NPI number 1689698193
LBN Legal business name Mckenzie County Healthcare Systems Inc
DBA Doing business as Good Shepherd Home
Authorized official Kelly, Daniel R.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 27th, 2006
Last updated Dec 13th, 2007 - about 17 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 1689698193 NPPES
North Dakota MEDICAID 30767

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