| Mercy Medical Center | |
|
1301 15th Ave W Williston ND 58801-3821 | |
| (701) 774-7400 | |
| (701) 774-7479 |
| Full Name | Mercy Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1301 15th Ave W, Williston, North Dakota |
| Authorized Official Name and Position | Kerry S. Monson (VP FINANCE/CFO) |
| Authorized Official Contact | 7017747408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Center 1301 15th Ave W Williston ND 58801-3821 Ph: (701) 774-7400 | Mercy Medical Center 1301 15th Ave W Williston ND 58801-3821 Ph: (701) 774-7400 |
| NPI Number | 1316039514 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316039514 | NPI | - | NPPES |
| 02152 | Medicaid | ND | |
| 0014507 | Other | ND | BLUE CROSS OF ND |
| 4104464 | Medicaid | MT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 5052A (North Dakota) | Primary |
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