MERCY MEDICAL CENTER NPI 1992818264

NPI Information

NPI: 1992818264
Provider Name: MERCY MEDICAL CENTER

Doing Business As: CHI ST ALEXIUS HEALTH WILLISTON

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization
Address:
1301 15TH AVE W
WILLISTON, ND
ZIP 58801
Phone: (701) 774-7400
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MERCY MEDICAL CENTER is a medicare defined swing bed unit in Williston, ND. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. MERCY MEDICAL CENTER NPI is 1992818264. 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) 774-7400
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 8/17/2006 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	275N00000X	Medicare Defined Swing Bed Unit		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	004192	OTHER	NORTH DAKOTA	BLUE CROSS OF ND
2	35Z334	MEDICARE OSCAR/CERTIFICATION	NORTH DAKOTA
3	35U017	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA
4	01935	MEDICAID	NORTH DAKOTA
5	3100069	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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