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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

NPI # 1720194624
LBN Legal business name MERCY MEDICAL CENTER
Authorized official JOSEPH RUARK - (VP-OPERATIONAL FINANCE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2006
Last updated 11/17/2016 - About 10 years ago
Identifiers
ND License # 5052A
MT Medicaid 402272
ND Medicaid 13671
ND Other 000142001 BLUE CROSS OF ND
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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