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NPI 1942538608ActiveOrganization· Skilled Nursing Facility· West Fargo, ND

Skilled Nursing Facility in West Fargo, North Dakota, registered in NPPES in November 2009. The authorized official on file is Wade E. Stubson, Cfo. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1942538608
StatusActive
Entity typeOrganization
NPI issuedNov 18, 2009
Last updated in NPPESApr 11, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (ND)

Medicare sources and data years