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MCKENZIE COUNTY HEALTHCARE SYSTEMS INC NPI 1689698193


NPI Information

NPI: 1689698193
Provider Name: MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

Doing Business As: GOOD SHEPHERD HOME

Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
709 4TH AVE NE
WATFORD CITY, ND
ZIP 58854
Phone: (701) 444-2331
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MCKENZIE COUNTY HEALTHCARE SYSTEMS INC is a custodial care facility in Watford City, ND. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. MCKENZIE COUNTY HEALTHCARE SYSTEMS INC NPI is 1689698193. The provider is registered as an organization entity type.
The provider Is Doing Business As Good Shepherd Home.

The provider's business location address is:

709 4TH AVE NE
WATFORD CITY, ND
ZIP 58854-628
Phone: (701) 444-2331
Fax: (701) 444-4629

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 enumeration date for this NPI number is 7/27/2006 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
1311Z00000XCustodial Care FacilityYes

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
130767MEDICAIDNORTH 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

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