4TH CORPORATION (NPI# 1669640942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669640942 |
| Entity Type | Organization |
| Organization Name | 4TH CORPORATION |
| Practice Address |
120 11th St N New Rockford ND 58356-1434 |
| Practice Telephone | 7019472147 |
| Mailing Telephone | 7019472147 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |
| Authorized Official Name | KODI KELLER (BUSINESS MANAGER) |
| Authorized Official Telephone | 7019472147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | ND01161 | ND | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 30818 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750559035 | 4th Corporation | Intermediate Care Facility, Mentally Retarded | 120 11th St N, New Rockford, ND 58356-1434 | 2008-02-20 |
| Street Address |
120 11TH ST N |
| City | NEW ROCKFORD |
| State | ND |
| Zip Code | 58356-1434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740347764 | 4th Corporaiton | Intermediate Care Facility, Mentally Retarded | 120 11th St N, New Rockford, ND 58356-1434 | 2007-01-02 |
| 1750559035 | 4th Corporation | Intermediate Care Facility, Mentally Retarded | 120 11th St N, New Rockford, ND 58356-1434 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114527322 | 4th Corporaiton | Community/Behavioral Health | 1006 2nd Avenue North, New Rockford, ND 58356 | 2020-10-27 |
| 1295335495 | 4th Corporaiton | Community/Behavioral Health | 120 11th Street North, New Rockford, ND 58356 | 2020-10-27 |
| 1801811666 | Carrington Health Center | Family Medicine | 118 1st St S, New Rockford, ND 58356 | 2006-07-13 |
| 1396727004 | Lutheran Home of The Good Shepherd | Assisted Living Facility | 1226 1st Ave N, New Rockford, ND 58356-1415 | 2005-11-17 |
| 1659340214 | Michelle Moen | Occupational Therapist | 215 13th St N, New Rockford, ND 58356-1442 | 2006-03-16 |
| 1053555680 | Brita Lynn Duval | Specialist | 220 8th St N, New Rockford, ND 58356-1509 | 2009-04-27 |
| 1770824492 | Community Ambulance Service of New Rockford | Ambulance | 818 1st Ave N, New Rockford, ND 58356-1511 | 2013-03-05 |
| 1154333730 | Central Pharmacy Inc | Pharmacy | 4 8th St N, New Rockford, ND 58356-1518 | 2006-08-12 |
| 1386989796 | Kody Jay Lura | Pharmacist | 4 8th St N, New Rockford, ND 58356-1518 | 2012-12-11 |
| 1639253024 | Ruth F Lindgren | Pharmacist | 4 8th St N, New Rockford, ND 58356-1518 | 2006-10-24 |
| Find all providers in zip 58356 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740347764 | 4th Corporaiton | Intermediate Care Facility, Mentally Retarded | 120 11th St N, New Rockford, ND 58356-1434 | 2007-01-02 |
| 1750559035 | 4th Corporation | Intermediate Care Facility, Mentally Retarded | 120 11th St N, New Rockford, ND 58356-1434 | 2008-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302420 | Lake Region Corporation | Intermediate Care Facility, Mentally Retarded | 2017 Highway 20, Devils Lake, ND 58301-8650 | 2020-06-29 |
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1548782790 | 1150 Group Home | Intermediate Care Facility, Mentally Retarded | 1150 N. Collins Aveue, Mandan, ND 58554 | 2017-07-10 |
| 1437690609 | 1140 Grouphome | Intermediate Care Facility, Mentally Retarded | 1140 Collins Ave, Mandan, ND 58554 | 2017-03-20 |
| 1861810053 | Red River Human Services Foundation | Intermediate Care Facility, Mentally Retarded | 903 Mulberry Ln, West Fargo, ND 58078-5000 | 2014-04-03 |
| 1144582933 | Anne Carlsen Center | Intermediate Care Facility, Mentally Retarded | 701 3rd Steeet Nw, Jamestown, ND 58401 | 2012-06-08 |
| 1578835641 | Hit Inc. 1301 Grouphome | Intermediate Care Facility, Mentally Retarded | 1301 7th Ave Se, Mandan, ND 58554 | 2012-02-03 |
| 1598062143 | 1201 Grouphome | Intermediate Care Facility, Mentally Retarded | 1201 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| 1407153059 | 1203 Grouphome | Intermediate Care Facility, Mentally Retarded | 1203 7th Ave Se, Mandan, ND 58554 | 2011-02-17 |
| Find all providers with the same taxonomy | ||||
| City | NEW ROCKFORD |
| Zip Code | 58356 |
Please comment or provide details below to improve the information on 4TH CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.