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4th Corporation

Intellectual Disabilities Intermediate Care Facility in New Rockford, ND · enumerated 2008 · authorized official Kodi Keller, Business Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1750559035

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Registry record

Entity type Organization (Type 2)
Legal business name 4th Corporation
Practice address 120 11th St N, New Rockford, ND, 58356
Phone (701) 947-2147
Enumeration date Feb 20, 2008
Last updated in NPPES Feb 20, 2008

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License ND01161 (ND) Primary

Authorized official

Name Kodi Keller
Title Business Manager
Phone (701) 947-2147

Other identifiers

Identifier Type State Issuer
30809 Medicaid ND -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-02-20. Verify at npiregistry.cms.hhs.gov.
Where is 4th Corporation located?
The practice location on file with NPPES is in New Rockford, ND.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-20.