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MCKENZIE COUNTY HEALTHCARE SYSTEMS INC NPI 1063420495


NPI Information

NPI: 1063420495
Provider Name: MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

Doing Business As: MCHS-CLINIC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
709 4TH AVE NE
WATFORD CITY, ND
ZIP 58854
Phone: (701) 842-3771
Get Directions

MCKENZIE COUNTY HEALTHCARE SYSTEMS INC is a clinic center in Watford City, ND. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MCKENZIE COUNTY HEALTHCARE SYSTEMS INC NPI is 1063420495. The provider is registered as an organization entity type.
The provider Is Doing Business As Mchs-clinic.

The provider's business location address is:

709 4TH AVE NE
WATFORD CITY, ND
ZIP 58854-628
Phone: (701) 842-3771
Fax: (701) 842-4025

The provider's authorized official is Peter Edis .
The authorized official title is Ceo and has the following contact phone number (701) 444-8609.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 6/9/2023.


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
1261Q00000XClinic/CenterYes

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
1720528MEDICAIDMONTANA
26340001OTHERNORTH DAKOTABLUE CROSS BLUE SHIELD
313173MEDICAIDNORTH DAKOTA
4MD421NDMEDICAIDALABAMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.