MERCY MEDICAL CENTER NPI 1225144132

NPI Information

NPI: 1225144132
Provider Name: MERCY MEDICAL CENTER
Classification: Registered Nurse - 163WX0200X
Entity Type: Organization

Specialization: Oncology

CLIA Number: 35D0409305

Address:
1301 15TH AVE W
WILLISTON, ND
ZIP 58801
Phone: (701) 774-7470
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MERCY MEDICAL CENTER is an oncology registered nurse in Williston, ND. MERCY MEDICAL CENTER NPI is 1225144132. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1301 15TH AVE W
WILLISTON, ND
ZIP 58801-821
Phone: (701) 774-7470
Fax: (701) 774-7479

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) 774-7470.

The CLIA number assigned to this NPI record is 35D0409305 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/22/2006 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	163WX0200X	Registered Nurse	Oncology	5052A	NORTH DAKOTA	Yes
2	207RH0003X	Internal Medicine	Hematology & Oncology	5052A	NORTH DAKOTA	X
3	363A00000X	Physician Assistant		5052A	NORTH DAKOTA	X

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	00711006	OTHER	NORTH DAKOTA	BLUE CROSS OF ND
2	013744	MEDICAID	NORTH DAKOTA

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: 4/28/2024

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