Mercy Medical Center

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

License

5052A Issued in ND

Legal business name

MERCY MEDICAL CENTER

Doing business as

Chi St Alexius Health Williston

Practice address

1301 15TH Ave W
Williston, ND 58801-3821

Phone

(701) 774-7400

Fax

(701) 774-7479

NPI assigned

Aug 17, 2006

Last updated

Nov 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Ruark

Title

VP - Operational Finance

Phone

(701) 774-7400

Specialties & licenses 1

Addresses

Other names 1

• Chi St Alexius Health Williston Doing business as

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1992818264",
    "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": "2006-08-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "RUARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VP - OPERATIONAL FINANCE",
        "authorized_official_telephone_number": "701-774-7400"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "ND",
            "license": "5052A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chi St Alexius Health Williston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Medical Center (CHI St Alexius Health Williston)
• 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, Dba Mercy Health Partners Specialty Group
• Mercy Recovery Center
• Mercy Recovery Center Residential Treatment Center
• Messer Dental PC
• Jeremy J Messer, DMD

• Medicare Defined Swing Bed Hospital Unit in Williston, ND
• Providers in Williston, ND by specialty
• Medicare Defined Swing Bed Hospital Unit in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.