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Contact Information

KENSINGTON WILLISTON
1001 24TH ST W
WILLISTON, ND58801-3245
 Phone: 701-774-0424
 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 KENSINGTON WILLISTON

NPI # 1194939363
LBN Legal business name KENSINGTON WILLISTON
Authorized official DORISANN LINDVIG - (ASSISTANT DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
ND Medicaid 030730
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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