4TH CORPORATION
NPI 1669640942
Intermediate Care Facility, Intellectual Disabilities in New Rockford, ND

Active since February 20, 2008
120 11TH ST N, NEW ROCKFORD, ND 58356(701) 947-2147 Get Directions Write a Review

NPPES record last updated: February 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About 4th Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

4TH CORPORATION (NPI 1669640942) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in New Rockford, North Dakota and active in the NPI registry since February 2008. The organization lists Kodi Keller, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1669640942
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business Name4TH CORPORATION
Location Address120 11TH ST NNew Rockford, ND 58356-1434
Mailing Address120 11th St NNew Rockford, ND 58356-1434 · (701) 947-2147
Organization SubpartNo
Authorized OfficialKodi KellerBusiness Manager · (701) 947-2147
Enumeration DateFebruary 20, 2008
NPI 1669640942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in ND · ND01161
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

120 11TH ST N, New Rockford, ND 58356

Other Identifiers 1

Medicaid30818ND

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Intermediate Care Facility, Intellectual Disabilities
120 11TH ST N
NEW ROCKFORD, ND 58356
Intermediate Care Facility, Intellectual Disabilities
120 11TH ST N
NEW ROCKFORD, ND 58356

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669640942, enumerated as an "organization" on February 20, 2008.

The provider is located at 120 11TH ST N NEW ROCKFORD, ND 58356 and the phone number is (701) 947-2147.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.