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Contact Information

MERCY MEDICAL CENTER
1301 15TH AVE W
WILLISTON, ND58801-3821
 Phone: 701-774-7400
 Fax: 701-774-7479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MERCY MEDICAL CENTER · (Female)

NPI # 1720194624
Status Active
Credentials
Entity Individual
Enumeration date 08/22/2006
Last updated 11/17/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • ND License # 5052A
  • MT Medicaid 402272
  • ND Medicaid 13671
  • ND Other 000142001 BLUE CROSS OF ND
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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