MCKENZIE COUNTY HEALTHCARE SYSTEMS INC NPI 1457374217

NPI Information

NPI: 1457374217
Provider Name: MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

Doing Business As: MCHS CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
525 N MAIN ST
WATFORD CITY, ND
ZIP 58854
Phone: (701) 842-3771
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MCKENZIE COUNTY HEALTHCARE SYSTEMS INC is a rural health clinic center in Watford City, ND. MCKENZIE COUNTY HEALTHCARE SYSTEMS INC NPI is 1457374217. The provider is registered as an organization entity type.
The provider Is Doing Business As Mchs Clinic.

The provider's business location address is:

525 N MAIN ST
WATFORD CITY, ND
ZIP 58854-313
Phone: (701) 842-3771
Fax: (701) 842-4025

The provider's authorized official is Daniel R. Kelly .
The authorized official title is Chief Executive Officer and has the following contact phone number (701) 842-3000.

The CLIA number assigned to this NPI record is 35D0409334 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/13/2007.

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	261QR1300X	Clinic/Center	Rural Health			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	353438	MEDICARE ID-TYPE UNSPECIFIED	NORTH DAKOTA	RURAL HEALTH CLINIC
2	24639	OTHER	NORTH DAKOTA	BLUE CROSS RURAL HEALTH
3	5164	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: 5/5/2024

NPI Synchronization or Removal

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