Mercy Medical Center

LBN: Mercy Medical Center
Mercy Medical Center is an health care organization with primary practice located at 1301 15Th Ave W , Williston ND 58801-3821. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Mercy Medical Center can be contacted via phone (701) 774-7401, or through Monson, Kerry S. via phone (701) 774-7401.

Contact Information

Primary practice address
1301 15Th Ave W Williston ND 58801-3821
Fax: (701) 774-7479
Website:
Authorized official contact:
Name: Monson, Kerry S.

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 5052A North Dakota
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5052A North Dakota
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 5052A North Dakota

Profile Details

NPI number 1801928593
LBN Legal business name Mercy Medical Center
DBA Doing business as
Authorized official Monson, Kerry S.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2007
Last updated Jun 23rd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801928593 NPPES
North Dakota MEDICAID 11684
North Dakota Other 711002

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