MERCY MEDICAL CENTER NPI 1902824576

NPI Information

NPI: 1902824576
Provider Name: MERCY MEDICAL CENTER

Doing Business As: CHI ST ALEXIUS HEALTH WILLISTON

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1301 15TH AVE W
WILLISTON, ND
ZIP 58801
Phone: (701) 774-7401
Get Directions

MERCY MEDICAL CENTER is a critical access general acute care hospital in Williston, ND. MERCY MEDICAL CENTER NPI is 1902824576. The provider is registered as an organization entity type.
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) 774-7401
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 7/18/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC0050X	Clinic/Center	Critical Access Hospital	5052	NORTH DAKOTA	No
2	282NC0060X	General Acute Care Hospital	Critical Access	5052A	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	01059	MEDICAID	NORTH DAKOTA
2	000224	OTHER	NORTH DAKOTA	BLUE CROSS OF ND
3	350017	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA
4	35-1334	MEDICARE PIN	NORTH DAKOTA
5	00659001	OTHER	NORTH DAKOTA	BLUE CROSS OF ND
6	417924	MEDICAID	MONTANA

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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