BIGFORK VALLEY VILLA ASSISTED LIVING – NPI #1336184688
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

BIGFORK VALLEY VILLA ASSISTED LIVING is an assisted living facility located in BIGFORK, MN. NPPES has assigned the NPI number 1336184688 to BIGFORK VALLEY VILLA ASSISTED LIVING on June 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BIGFORK VALLEY VILLA ASSISTED LIVING” 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 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

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 VILLA ASSISTED LIVING below.

NPI Profile for
NORTHERN ITASCA HOSPITAL DISTRICT

NPI Number
1336184688
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 VILLA ASSISTED LIVING
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
310400000X
- Assisted Living Facility (Primary)
MN 332067

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.