Organization Active NPI

Mercy Hospital

Doing business as Mercy Home Care Services

  • Home Health Agency
  • Valley City, ND
National Provider Identifier
1659330751
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4031A Issued in ND
Legal business name
MERCY HOSPITAL
Doing business as
Mercy Home Care Services
Practice address
243 Central Ave N
Valley City, ND 58072-2965
Phone
(701) 845-6550
Fax
(701) 845-6552
NPI assigned
Mar 20, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Les Wietstock
Title
Cfo
Phone
(701) 845-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4031A ND Primary

Addresses

Primary practice location

243 Central Ave N
Valley City, ND 58072-2965

Mailing address

570 Chautauqua Blvd
Valley City, ND 58072-3145
Phone (701) 845-6400

Other names 1

  • Mercy Home Care Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CHI Health Connect at Home18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

243 Central Ave N
Valley City, ND 58072
Phone (701) 845-6550

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659330751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 CHAUTAUQUA BLVD",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723145",
            "telephone_number": "701-845-6400",
            "fax_number": "701-845-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CENTRAL AVE N",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580722965",
            "telephone_number": "701-845-6550",
            "fax_number": "701-845-6552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIETSTOCK",
        "authorized_official_first_name": "LES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "701-845-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ND",
            "license": "4031A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley City, ND

Sources for this page

  • 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.