NPIMap

Organization Active NPI

McKenzie County Healthcare Systems Inc

  • Home Health Agency
  • Watford City, ND
National Provider Identifier
1124693312
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Practice address
705 4TH Ave NE
Watford City, ND 58854-7629
Phone
(701) 444-4689
NPI assigned
May 21, 2021
Last updated
May 21, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MCKENZIE COUNTY HEALTHCARE SYSTEMS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susie Curtis
Title
Controller
Phone
(701) 444-8702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

705 4TH Ave NE
Watford City, ND 58854-7629

Mailing address

709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 842-3000

Other names 1

  • Home and Community Based Services Other name

National Provider Directory

National Provider Directory
Tax ID family
McKenzie County Healthcare12 organizations share this tax ID, including this one
Part of
McKenzie County Healthcare

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1124693312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 4TH AVE NE",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547628",
            "telephone_number": "701-842-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 4TH AVE NE",
            "city": "WATFORD CITY",
            "state": "ND",
            "postal_code": "588547629",
            "telephone_number": "701-444-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENZIE COUNTY HEALTHCARE SYSTEMS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCKENZIE COUNTY HEALTHCARE SYSTEMS INC",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "701-444-8702"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home and Community Based Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Watford City, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.