MCKENZIE COUNTY HEALTHCARE SYSTEMS INC; NPI #1457374217

Contact Information

MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

709 4TH AVE NE
WATFORD CITY, ND 58854-7628

Phone: 701-842-3771
Fax: 701-842-4025
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

NPI # 1457374217

LBN Legal business name MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

Authorized official REBECCA BLAHOSKI - (MEDICAL STAFF COORDINATOR)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 07/25/2006

Last updated 10/22/2024 - More than a year ago

Identifiers

MN	Medicaid	140172600
ND	Medicaid	5164
ND	Other	24639	BLUE CROSS RURAL HEALTH

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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