Provider Demographics
NPI:1598741381
Name:NELSON-GRIGGS DISTRICT HEALTH UNIT
Entity Type:Organization
Organization Name:NELSON-GRIGGS DISTRICT HEALTH UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-322-5624
Mailing Address - Street 1:116 S MAIN ST
Mailing Address - Street 2:PO BOX 365
Mailing Address - City:MCVILLE
Mailing Address - State:ND
Mailing Address - Zip Code:58254-0365
Mailing Address - Country:US
Mailing Address - Phone:701-322-5624
Mailing Address - Fax:
Practice Address - Street 1:116 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MCVILLE
Practice Address - State:ND
Practice Address - Zip Code:58254-0365
Practice Address - Country:US
Practice Address - Phone:701-322-5624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-22
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND058126Medicaid
ND058126Medicaid