Mercy Medical Center

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

5052A Issued in ND

Legal business name

MERCY MEDICAL CENTER

Practice address

1301 15TH Ave W
Williston, ND 58801-3821

Phone

(701) 774-7400

Fax

(701) 774-7479

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kerry S. Monson

Title

VP Finance/Cfo

Phone

(701) 774-7408

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316039514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013821",
            "telephone_number": "701-774-7400",
            "fax_number": "701-774-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 15TH AVE W",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588013821",
            "telephone_number": "701-774-7400",
            "fax_number": "701-774-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "VP FINANCE/CFO",
        "authorized_official_telephone_number": "701-774-7408",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "ND",
            "license": "5052A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02152",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ND",
            "identifier": "0014507",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4104464",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Hospice
• Mercy Medical Center (Chi St Alexius Health Williston)
• Mercy Medical Center
• Mercy Medical Center (CHI St Alexius Health Williston)
• Mercy Medical Center
• Mercy Medical Center
• Mercy Medical Center (CHI St Alexius Health Williston)
• Mercy Medical Center (CHI St Alexius Health Williston)
• Mercy Medical Center (CHI St Alexius Health Williston)
• Mercy Medical Center (Chi St Alexius Health Williston)

• Psychiatric Hospital Unit in Williston, ND
• Providers in Williston, ND by specialty
• Psychiatric Hospital Unit in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.