Mercy Hospital of Devils Lake
Organization Active NPI Clinic/Center · Devils Lake, ND
NPI 1184117293 · NPPES record last updated Sep 26, 2018
Key facts
- NPI
- 1184117293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- MERCY HOSPITAL OF DEVILS LAKE
- Practice address
- 425 College Dr S Ste 14
Devils Lake, ND 58301 - Phone
- (701) 662-8662
- NPI assigned
- Jun 13, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- MERCY HOSPITAL OF DEVILS LAKE
Authorized official
- Name
- Andrew Joseph Lankowicz
- Title
- President
- Phone
- (701) 662-2131
Other NPIs on the same Medicare enrollment 2
Practitioners 108
-
Kenneth Aduba, M.D
-
Syed Haris H Ali, MD
-
Christina Arauz, M.D.
-
Sumit Bhandari, MD
-
Kathy Jane Brandt, LRD
-
Thomas C. Corbett, M.D.
-
Amy Sue Cox, APRN, CNP
-
Attila Dalmi, MD
-
Stephen Fox, MD
-
Kayla Lee Heinrich, FNP-C
-
Lee Kiedrowski, MD
-
Stacey Lee Konzak, PA C
-
Daphne D Kurtz, NP
-
Richard Joseph Macker, FNP-C
-
Roberto A. Moraleda, M.D.
-
Brian E O'Hara, MD
-
Timothy Patrick Overend, CRNA
-
Michael J Page, MD
-
Karla Parkes, A.R.N.P.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041005001141 | ND | Part B Supplier - Clinic/Group Practice | 9537128681 |
Receives reassigned benefits from 106 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Devils Lake, ND |
National Provider Directory
- Part of
- Mercy Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes | ||
| Critical Access Hospital Clinic/Center | 261QC0050X | 5012 | ND | |
| Multi-Specialty Clinic/Center | 261QM1300X | 5012 | ND |
Addresses
Primary practice location
425 College Dr S Ste 14
Devils Lake, ND 58301
Mailing address
425 College Dr S Ste 14
Devils Lake, ND 58301-3537
Phone (701) 662-8662
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1475134 | Medicaid | ND |
Other names
- CHI ST ALEXIUS HEALTH DEVILS LAKE CLINIC
Other providers in Devils Lake, ND
- Jacquelyn N Meier
- Shawn Meier
- Jodi L. Melander
- Monae Mendoza
- Amber Mercer
- Mercy Hospital of Devils Lake
- Mercy Hospital of Devils Lake
- Mercy Hospital of Devils Lake
- Mercy Hospital of Devils Lake
- Mercy Hospital of Devils Lake
All providers in Devils Lake, ND · Clinic/Center in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.