BIGFORK VALLEY ADULT DAY STAY SERVICES PROGRAM – NPI #1548204605
Clinic/Center

BIGFORK VALLEY ADULT DAY STAY SERVICES PROGRAM is an AHC clinic located in BIGFORK, MN. NPPES has assigned the NPI number 1548204605 to BIGFORK VALLEY ADULT DAY STAY SERVICES PROGRAM on June 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BIGFORK VALLEY ADULT DAY STAY SERVICES PROGRAM” is a dba name, the actual legal business name for this organization is NORTHERN ITASCA HOSPITAL DISTRICT. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BIGFORK VALLEY ADULT DAY STAY SERVICES PROGRAM below.

NPI Profile for
NORTHERN ITASCA HOSPITAL DISTRICT

NPI Number
1548204605
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHERN ITASCA HOSPITAL DISTRICT
Doing Business As (dba): BIGFORK VALLEY ADULT DAY STAY SERVICES PROGRAM
Primary location
258 PINE TREE DRIVE
BIGFORK, MN 56628
Phone: (218) 743-3177 Fax: (218) 743-3559
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HAROLD ODEGAARD
CEO
Phone: (218) 743-3177
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)		 MN 804975-2-ADC

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.