McKenzie County Healthcare Systems Inc
Organization Active NPI Custodial Care Facility · Watford City, ND
NPI 1689698193 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1689698193
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Custodial Care Facility 311Z00000X
- Legal business name
- MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
- Practice address
- 709 4TH Ave NE
Watford City, ND 58854-7628 - Phone
- (701) 444-2331
- Fax
- (701) 444-4629
- NPI assigned
- Jul 27, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Authorized official
- Name
- Daniel R. Kelly
- Title
- Chief Executive Officer
- Phone
- (701) 842-3000
Corporate family (same tax ID) 11
Practitioners 39
-
David C Geier, M.D.
-
London Herbert, APRN, FNP-C
-
Leszek J Jaszczak, M.D.
-
Danielle Kiedrowski, CRNA
-
Lee Kiedrowski, MD
-
James Richard Pantel, PA-C
-
Wannapak Richter, MD
-
Krista Dawn Ritzke, PA-C
-
Cassie Joy Rothe, FNP-C
-
Sheldon Swenson, MD
-
Donna E Verhasselt, PA-C
-
Vallie Christensen, DNP,APRN, FNP-C
-
Luke Cutherell, M.D.
-
Paul D Dearing, MD
-
Lillian Marie Decosimo, M.D.
-
Osmany Duany, MD
-
Liam G. Gannon, MD
-
Justin Waco Goodnight, M.D.
-
Sarah Margaret Gordon, M.D.
National Provider Directory
- Tax ID family
- McKenzie County Healthcare Systems Inc
- Part of
- McKenzie County Healthcare Systems Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Yes |
Addresses
Primary practice location
709 4TH Ave NE
Watford City, ND 58854-7628
Mailing address
709 4TH Ave NE
Watford City, ND 58854-7628
Phone (701) 444-2331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30767 | Medicaid | ND |
Other names
- Good Shepherd Home
Other providers in Watford City, ND
- McKenzie County Healthcare Systems Inc
- McKenzie County Healthcare Systems Inc
- McKenzie County Healthcare Systems Inc
- McKenzie County Healthcare Systems Inc
- McKenzie County Healthcare Systems Inc
- McKenzie County Healthcare Systems Inc
- McKenzie County Healthcare Systems, Inc
- McKenzie County Social Services
- Michelle Meyers
- Amanda Marie Mitchell
All providers in Watford City, ND · Custodial Care Facility 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 Dec 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.