Organization · Type 2 NPI

4000 Valley Square Inc

Skilled Nursing Facility · Grand Forks, ND

NPI number 1275627184 Active

Practice location

4000 24th Ave S
Grand Forks, ND 58201-8863

Fax (701) 787-7822

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	1077A (ND)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1275627184
Entity type: Organization (Type 2)
Issued: Oct 3, 2006
Last updated: Aug 22, 2019
Status: Active
Subpart: Yes of Valley Memorial Homes

Other names

<unavail>
Country Estates · doing business as
Country Estates · doing business as
Valley Senior Living On 42nd · doing business as
Woodside Village · doing business as
Wheatland Terrace · doing business as

Authorized official

Mrs. Megan Anderson
Administrative Project Coordinator
(701) 787-7970

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1275627184

4000 Valley Square Inc's National Provider Identifier is 1275627184, issued on Oct 3, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Grand Forks, ND. The record was last updated on Aug 22, 2019.