MERCY MEDICAL CENTER (NPI# 1760549000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760549000 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER |
| Other Organization Name | CHI ST ALEXIUS HEALTH WILLISTON |
| Practice Address |
1213 15th Ave W Williston ND 58801 |
| Mailing Address |
1213 15th Ave W Williston ND 58801-3800 |
| Practice Telephone | 7017747470 |
| Mailing Telephone | 7017747470 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | JOSEPH RUARK (VP-OPERATIONAL FINANCE) |
| Authorized Official Telephone | 7017747400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
Ambulatory Health Care Facilities | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | 5052 | ND | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 10178 | 05 | |
| MT | 3500742 | 05 |
| Other Name | Type Code |
|---|---|
| Chi St Alexius Health Williston | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 14th St W Ste 300, Williston, ND 588014079 | 7017747500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417493073 | Mercy Medical Center | Chronic Disease Hospital | 7011 E Baltimore St, Baltimore, MD 21224-1829 | 2017-01-06 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1407075096 | Mercy Medical Center | Occupational Therapist | 2120 Edgewood Rd Sw, Cedar Rapids, IA 52404-2342 | 2007-04-24 |
| 1891714994 | Mercy Medical Center | Surgery | 1000 N Village Avenue, Rockville Centre, NY 11571 | 2006-07-19 |
| 1033159769 | Mercy Medical Center | Hospice Care, Community Based | 315 18th Ave, Hiawatha, IA 52233-2042 | 2006-06-08 |
| 1720456361 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Ave, Garden City, NY 11530-4706 | 2015-09-14 |
| 1548661366 | Mercy Medical Center | Rehabilitation Hospital | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2014-09-11 |
| 1558783548 | Mercy Medical Center | Clinic/Center | 1421 S Caton Ave, Suite 203, Baltimore, MD 21227-1025 | 2014-01-10 |
| 1184974677 | Mercy Medical Center | Pharmacy | 701 10th Street Se, Cedar Rapids, IA 52403-1292 | 2012-09-12 |
| 1790054815 | Mercy Medical Center | Rehabilitation Hospital | 345 Saint Paul Pl, Baltimore, MD 21202-2123 | 2011-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER | 500 S Oakwood Rd, Oshkosh, WI 54901-7944 |
| New York State Corporations | MERCY MEDICAL CENTER | 1000 North Village Avenue, Rockville Centre, New York 11570 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER - DES MOINES | 1111 6th Ave, Des Moines, IA 50314-2610 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER - NEWTON | 204 North 4th Avenue East, Newton, IA 50208-3135 |
| Iowa Business Entities | MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | 1000 4th St Sw, Mason City, IA 50401 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER FUNDATION IN IOWA | 1000 4th St Sw, Mason City, IA 50401-2800 |
| New York State Corporations | MERCY MEDICAL CENTER PHYSICIAN-HOSPITAL ALLIANCE, INC. | 1000 North Village Avenue, Rockville Centre, Ny 11570 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC | 301 Saint Paul Pl, Baltimore, MD 21202-2102 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC. | 1320 Mercy Dr Nw, Canton, OH 44708-2614 |
| Oregon Corporations, Companies and Business Names | MERCY MEDICAL CENTER, INC. | 2700 Stewart Parkway, Roseburg, OR 97471 |
| Street Address |
1213 15TH AVE W |
| City | WILLISTON |
| State | ND |
| Zip Code | 58801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992793673 | William Curtis Small | Family Medicine | 1213 15th Ave W, Williston, ND 58801-3800 | 2005-10-07 |
| 1144852070 | Angela R Ekblad | Registered Nurse | 1213 15th Ave W, Williston, ND 58801-3800 | 2020-02-08 |
| 1154776268 | Ines Audrey Teuma Nguimfack | Family Medicine | 1213 15th Ave W, Williston, ND 58801-3800 | 2016-04-26 |
| 1972969178 | Matthew Song | Pharmacist | 1213 15th Ave W, Williston, ND 58801-3800 | 2016-01-05 |
| 1679987366 | St. Vincent Healthcare | Neurological Surgery | 1213 15th Ave W, Williston, ND 58801-3800 | 2014-06-20 |
| 1669750469 | Cherise Norby | Nurse Practitioner | 1213 15th Ave W, Craven Hagan Clinic, Williston, ND 58801-3800 | 2011-07-27 |
| 1225323504 | Williston Basin Eyecare Associates, P.C. | Optometrist | 1213 15th Ave W, Williston, ND 58801-3800 | 2011-06-14 |
| 1053640524 | Joseph E Adducci, PC | Obstetrics & Gynecology | 1213 15th Ave W, Williston, ND 58801-3800 | 2009-12-13 |
| 1336478924 | Allison R Anderson | Optometrist | 1213 15th Ave W, Williston, ND 58801-3886 | 2009-12-10 |
| 1194948588 | Charlene R Thompson | Technician/Technologist | 1213 15th Ave W, Williston, ND 58801-3800 | 2007-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952868556 | Purpose Driven Interventions | Counselor | 1502 13th Ave West, Williston, ND 58801 | 2019-03-01 |
| 1437637501 | Camille Ann Settelmeyer | Nurse Practitioner | 1213 15th Avenue West, Williston, ND 58801 | 2018-08-01 |
| 1801317417 | Shelby Laine Carlson | Physical Therapist | 1502 13th Ave W Suite 101, Williston, ND 58801 | 2017-07-05 |
| 1710418579 | Catrina Louise Lindvig | Chiropractor | 1135 2nd Ave W Ste 203, Williston, ND 58801 | 2017-03-23 |
| 1801337415 | Selah Counseling | Clinic/Center | 125 Main St, Suite #220, Williston, ND 58801 | 2017-03-15 |
| 1316485634 | Theresa E Scully | Social Worker | 125 Main St; Unit 220, Williston, ND 58801 | 2017-02-07 |
| 1346792256 | Donna Peterson | Social Worker | 1500 14th St Sw, Suite 250, Williston, ND 58801 | 2016-10-26 |
| 1730509084 | Lacey Thompson | Case Manager/Care Coordinator | 110 West Broadway, Suite 202, Williston, ND 58801 | 2014-04-24 |
| 1770904708 | Kayla Jo Rossland | Physical Therapist | 221 University Ave Ste 203, Williston, ND 58801 | 2013-12-17 |
| 1285072710 | Susan Mae Bradford | Counselor | 612 4th St. E., Williston, ND 58801 | 2013-06-06 |
| Find all providers in zip 58801 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518462894 | Ideal Option, Pllc | Clinic/Center | 316 2nd Ave W Ste 1, Williston, ND 58801-5218 | 2018-03-28 |
| 1245309780 | Comprehensive Pediatric Care, P. C. | Clinic/Center | 1411 W Dakota Pkwy Ste 2a, Williston, ND 58801-3854 | 2006-11-07 |
| 1922595909 | Ideal Telemedicine Services | Clinic/Center | 316 2nd Ave W Ste 1, Williston, ND 58801-5218 | 2018-04-16 |
| 1457863185 | Bakken Occupational Health PC | Clinic/Center | 310 Airport Rd Ste 2000, Williston, ND 58801-2959 | 2017-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104441641 | Altru Health System | Clinic/Center | 233 Towner Ave, Larimore, ND 58251 | 2020-06-10 |
| 1316580343 | Moos Family Chiropractic LLC | Clinic/Center | 517 S 5th St, Bismarck, ND 58504-5702 | 2019-10-22 |
| 1679139323 | St Aloisius Hospital Inc | Clinic/Center | 61 Main Ave S, Fessenden, ND 58438-7101 | 2019-05-17 |
| 1225503972 | Central Dakota Forensic Nurse Examiners | Clinic/Center | 1929 N Washington St Ste W, Bismarck, ND 58501-1616 | 2018-10-09 |
| 1003399064 | Ideal Option, Pllc | Clinic/Center | 44 24th St E, Dickinson, ND 58601-6576 | 2018-09-14 |
| 1174001416 | Ideal Option, Pllc | Clinic/Center | 1260 W Villard St Unit 1, Dickinson, ND 58601-4848 | 2018-07-30 |
| 1376020396 | Ideal Option, Pllc | Clinic/Center | 3520 N Broadway, Minot, ND 58703-0513 | 2018-07-23 |
| 1720588171 | Ideal Option, Pllc | Clinic/Center | 3301 30th Ave S Ste 102, Grand Forks, ND 58201-6009 | 2018-02-12 |
| 1093172827 | Terry N Braun Counseling LLC | Clinic/Center | 1042 14th Ave E Ste 210, West Fargo, ND 58078-3363 | 2016-01-25 |
| 1043676257 | Hochhalter Chiropractic, PC | Clinic/Center | 118 2nd Street Nw, Jamestown, ND 58401-3117 | 2016-01-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.