MERCY RECOVERY CENTER NPI 1154349256

NPI Information

NPI: 1154349256
Provider Name: MERCY RECOVERY CENTER
Classification: Rehabilitation, Substance Use Disorder Unit - 276400000X
Entity Type: Organization
Address:
1301 15TH AVE W
WILLISTON, ND
ZIP 58801
Phone: (701) 774-7401
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MERCY RECOVERY CENTER is a rehabilitation substance use disorder unit in Williston, ND. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) MERCY RECOVERY CENTER NPI is 1154349256. The provider is registered as an organization entity type.

The provider's business location address is:

1301 15TH AVE W
WILLISTON, ND
ZIP 58801-821
Phone: (701) 774-7401
Fax: (701) 774-4188

The provider's authorized official is Kerry S. Monson .
The authorized official title is Vp Finance/cfo and has the following contact phone number (701) 774-7408.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	276400000X	Rehabilitation, Substance Use Disorder Unit		1022	NORTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1059	MEDICAID	NORTH DAKOTA
2	3376	OTHER	NORTH DAKOTA	BLUE CROSS OF ND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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