Mercy Medical Center

Primary specialty

Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X

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

Aug 17, 2006

Organization subpart

No

Name

Joseph Ruark

Title

VP - Operational Finance

Phone

(701) 774-7400

• Chi St Alexius Health Williston Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2016.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ND",
            "identifier": "004192",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01935",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100069",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chi St Alexius Health Williston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Medical Center
• Mercy Medical Center
• Mercy Medical Center
• Mercy Medical Center
• Mercy Medical Center
• 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

• All providers in Williston, ND
• 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.