MERCY HOSPITAL OF DEVILS LAKE NPI 1609972884

NPI Information

NPI: 1609972884
Provider Name: MERCY HOSPITAL OF DEVILS LAKE

Doing Business As: CHI ST ALEXIUS HEALTH DEVILS LAKE

Classification: Medicare Defined Swing Bed Unit - 275N00000X
Entity Type: Organization

Address:
1031 7TH STREET NE
DEVILS LAKE, ND
ZIP 58301
Phone: (701) 662-2131
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MERCY HOSPITAL OF DEVILS LAKE is a medicare defined swing bed unit in Devils Lake, 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 HOSPITAL OF DEVILS LAKE NPI is 1609972884. The provider is registered as an organization entity type.
The provider Is Doing Business As Chi St Alexius Health Devils Lake.

The provider's business location address is:

1031 7TH STREET NE
DEVILS LAKE, ND
ZIP 58301-798
Phone: (701) 662-2131
Fax: (701) 662-9651

The provider's authorized official is Kurt Sargent .
The authorized official title is Vp Operational Finance and has the following contact phone number (701) 237-8064.

The CLIA number assigned to this NPI record is 35D0408636 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/15/2006 and was last updated on 9/17/2016.

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		5012A	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	35U030	MEDICARE OSCAR/CERTIFICATION	NORTH DAKOTA
2	01939	MEDICAID	NORTH DAKOTA
3	4291	OTHER	NORTH DAKOTA	BLUE CROSS SWING BED

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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