NPIMap

Organization Active NPI

Mercy Hospital of Valley City

Doing business as CHI Mercy Health

  • Clinic/Center
  • Valley City, ND
National Provider Identifier
1972698975
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY HOSPITAL OF VALLEY CITY
Doing business as
CHI Mercy Health
Practice address
570 Chautauqua Boulevard
Valley City, ND 58072-3145
Phone
(701) 845-6400
Fax
(701) 845-6413
NPI assigned
Oct 4, 2006
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Mr. Keith Heuser
Title
Administrator
Phone
(701) 845-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Emergency Medicine Physician 207P00000X 5050A ND

Addresses

Primary practice location

570 Chautauqua Boulevard
Valley City, ND 58072-3145

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
17871MedicaidND

Other names 1

  • CHI Mercy Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040701000086 ND Part B Supplier - Clinic/Group Practice 8729997564 Receives reassigned benefits from 81 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Valley City, ND

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 80

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1972698975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 CHAUTAUQUA BOULEVARD",
            "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": "570 CHAUTAUQUA BOULEVARD",
            "city": "VALLEY CITY",
            "state": "ND",
            "postal_code": "580723145",
            "telephone_number": "701-845-6400",
            "fax_number": "701-845-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL OF VALLEY CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "HEUSER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "701-845-6400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ND",
            "license": "5050A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17871",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI Mercy Health",
            "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 Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.