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Contact Information

BLUE CARE OPCO FORT DODGE - NORTH, LLC
2721 10TH AVE N
FORT DODGE, IA50501-2834
 Phone: 732-637-9191
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for BLUE CARE OPCO FORT DODGE - NORTH, LLC

NPI # 1194460311
LBN Legal business name BLUE CARE OPCO FORT DODGE - NORTH, LLC
Authorized official SHMEUL HAIKINS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2022
Last updated 05/02/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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