4TH CORPORAITON (NPI# 1114527322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114527322 |
| Entity Type | Organization |
| Organization Name | 4TH CORPORAITON |
| Practice Address |
1006 2nd Avenue North New Rockford ND 58356 |
| Mailing Address |
120 11th Street North New Rockford ND 58356 |
| Practice Telephone | 7019472147 |
| Mailing Telephone | 7019472147 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | KODI KELLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7019472147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335495 | 4th Corporaiton | Community/Behavioral Health | 120 11th Street North, New Rockford, ND 58356 | 2020-10-27 |
| 1740347764 | 4th Corporaiton | Intermediate Care Facility, Mentally Retarded | 120 11th St N, New Rockford, ND 58356-1434 | 2007-01-02 |
| Street Address |
1006 2ND AVENUE NORTH |
| City | NEW ROCKFORD |
| State | ND |
| Zip Code | 58356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1669640942 | 4th Corporation | Intermediate Care Facility, Mentally Retarded | 120 11th St N, New Rockford, ND 58356-1434 | 2008-02-20 |
| 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 |
| Find all providers in zip 58356 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335495 | 4th Corporaiton | Community/Behavioral Health | 120 11th Street North, New Rockford, ND 58356 | 2020-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619962 | Alpha Opportunities, Inc. | Community/Behavioral Health | 705 14th St Ne, Jamestown, ND 58401-2626 | 2020-11-06 |
| 1811598758 | Alpha Opportunities, Inc. | Community/Behavioral Health | 906 9th Ave Ne, Jamestown, ND 58401-6503 | 2020-11-06 |
| 1619578077 | Hit Inc. | Community/Behavioral Health | 1517/1519 S Washington St, Bismarck, ND 58504 | 2020-11-03 |
| 1518568963 | Hit Inc. | Community/Behavioral Health | 1509/1511 S Washington St., Bismarck, ND 58504 | 2020-11-03 |
| 1558961391 | Hit Inc. | Community/Behavioral Health | 1007 18th St Nw, Mandan, ND 58554-1639 | 2020-10-30 |
| 1922608330 | Red River Human Services Foundation | Community/Behavioral Health | 608 4th St S, Wahpeton, ND 58075-4741 | 2020-10-27 |
| 1942800263 | Red River Human Services Foundation | Community/Behavioral Health | 808 6th St S, Wahpeton, ND 58075-4801 | 2020-10-27 |
| 1134729478 | Red River Human Services Foundation | Community/Behavioral Health | 812 6th St S, Wahpeton, ND 58075-4870 | 2020-10-27 |
| 1740880228 | Red River Human Services Foundation | Community/Behavioral Health | 109 4th Ave S, Wahpeton, ND 58075-4764 | 2020-10-26 |
| 1003416587 | Red River Human Services Foundation | Community/Behavioral Health | 1689 6th St W, West Fargo, ND 58078-4624 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | NEW ROCKFORD |
| Zip Code | 58356 |
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| 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.