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MERCY MEDICAL CENTER NPI 1720194624


NPI Information

NPI: 1720194624
Provider Name: MERCY MEDICAL CENTER

Doing Business As: CHI ST ALEXIUS HEALTH WILLISTON

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1301 15TH AVE W
WILLISTON, ND
ZIP 58801
Phone: (701) 774-7400
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MERCY MEDICAL CENTER is an emergency medicine in Williston, ND. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. MERCY MEDICAL CENTER NPI is 1720194624. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chi St Alexius Health Williston.

The provider's business location address is:

1301 15TH AVE W
WILLISTON, ND
ZIP 58801-821
Phone: (701) 774-7400
Fax: (701) 774-7479

The provider's authorized official is Joseph Ruark .
The authorized official title is Vp-operational Finance and has the following contact phone number (701) 774-7400.

The enumeration date for this NPI number is 8/22/2006 and was last updated on 11/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine5052ANORTH DAKOTAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
113671MEDICAIDNORTH DAKOTA
2402272MEDICAIDMONTANA
3N1000142MEDICARE PINNORTH DAKOTA
4000142001OTHERNORTH DAKOTABLUE 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: 4/28/2024

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