MCKENZIE COUNTY HEALTHCARE SYSTEMS INC (NPI# 1083224067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083224067 |
| Entity Type | Organization |
| Organization Name | MCKENZIE COUNTY HEALTHCARE SYSTEMS INC |
| Practice Address |
709 4th Ave Ne Watford City ND 58854-7628 |
| Practice Telephone | 7018428745 |
| Practice Fax Number | 9526532540 |
| Mailing Telephone | 7018428745 |
| Mailing Fax Number | 9526532540 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | DANIEL R KELLY (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7018423000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619998358 | Mckenzie County Healthcare Systems Inc | Skilled Nursing Facility | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2006-07-21 |
| 1427079854 | Mckenzie County Healthcare Systems Inc | Medicare Defined Swing Bed Unit | 516 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1548870520 | Mckenzie County Healthcare Systems Inc | Non-Pharmacy Dispensing Site | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2020-08-05 |
| 1932385705 | Mckenzie County Healthcare Systems Inc | Pharmacy | 516 N Main St, Watford City, ND 58854-7310 | 2008-01-11 |
| 1063420495 | Mckenzie County Healthcare Systems Inc | Clinic/Center | 525 N Main St, Watford City, ND 58854-7313 | 2006-08-03 |
| 1689698193 | Mckenzie County Healthcare Systems Inc | Custodial Care Facility | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2006-07-27 |
| 1457374217 | Mckenzie County Healthcare Systems Inc | Clinic/Center | 525 N Main St, Watford City, ND 58854-7313 | 2006-07-25 |
| 1518988948 | Mckenzie County Healthcare Systems Inc | General Acute Care Hospital | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2006-07-21 |
| Street Address |
709 4TH AVE NE |
| City | WATFORD CITY |
| State | ND |
| Zip Code | 58854-7628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619998358 | Mckenzie County Healthcare Systems Inc | Skilled Nursing Facility | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2006-07-21 |
| 1548870520 | Mckenzie County Healthcare Systems Inc | Non-Pharmacy Dispensing Site | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2020-08-05 |
| 1184241507 | Mckayla Haugeberg | Physical Therapist | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2020-07-01 |
| 1255964698 | Amanda Marie Mitchell | Nurse Practitioner | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2020-02-13 |
| 1902440449 | Christy Marie Moe | Nurse Practitioner | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2019-10-28 |
| 1508179854 | Tracy Beth Tomjack | Family Medicine | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2010-07-15 |
| 1689698193 | Mckenzie County Healthcare Systems Inc | Custodial Care Facility | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2006-07-27 |
| 1518988948 | Mckenzie County Healthcare Systems Inc | General Acute Care Hospital | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306308101 | Summit Silver Creek, LLC | Substance Abuse Rehabilitation Facility | 2046 125th Ave, Watford City, ND 58854 | 2019-04-02 |
| 1548716285 | Mckenzie County Social Services | Case Management | 201 5th St. Nw, Ste. 790, Watford City, MS 58854 | 2016-09-01 |
| 1275923450 | Jennifer Fleck | Nurse Practitioner | 118 8th Street Ne, Watford City, ND 58854 | 2015-01-27 |
| 1437497625 | Aaron Burke Patchen | Chiropractor | 105 9th Ave Se, Ste 3, Watford City, ND 58854 | 2013-01-22 |
| 1164703559 | Narek Ovsepian | Dentist | 324 3rd St Nw, Watford City, ND 58854 | 2011-08-30 |
| 1861614489 | Marilyn Beth Pierce | Physical Therapist | 3272 127th Avenue Nw, Watford City, ND 58854 | 2007-05-03 |
| 1710063771 | Gary L Trauger | Chiropractor | 105 2nd Ave Ne, Watford City, ND 58854 | 2006-10-31 |
| 1518056142 | Mckenzie County Ambulance Service | Ambulance | 204 3rd Ave Ne, Watford City, ND 58854 | 2006-10-12 |
| 1427079854 | Mckenzie County Healthcare Systems Inc | Medicare Defined Swing Bed Unit | 516 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1184645533 | Gary W Ramage | General Practice | 525 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| Find all providers in zip 58854 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870520 | Mckenzie County Healthcare Systems Inc | Non-Pharmacy Dispensing Site | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2020-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700444619 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 807 East Main Suite A, Bismarck, ND 58503 | 2019-06-05 |
| 1437717576 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 921 W Interstate Ave, Bismarck, ND 58503-0955 | 2019-06-04 |
| 1275675118 | Internal Medicine Associates, Ltd. | Non-Pharmacy Dispensing Site | 1707 Gold Dr S, Suite 101, Fargo, ND 58103-6413 | 2007-02-13 |
| 1538727441 | St Alexius Medical Center | Non-Pharmacy Dispensing Site | 4315 Ottawa St, Bismarck, ND 58503 | 2019-06-05 |
| 1144710658 | Innovis Health, LLC | Non-Pharmacy Dispensing Site | 4110 51st Ave S, Fargo, ND 58104-7776 | 2018-05-10 |
| 1225433485 | St Josephs Hospital and Health Center | Non-Pharmacy Dispensing Site | 30 7th St W, Dickinson, ND 58601-4335 | 2014-10-30 |
| 1073867263 | Hans Bjellum Md PC | Non-Pharmacy Dispensing Site | 1100 19th Ave N, Fargo, ND 58102-5906 | 2012-11-09 |
| 1457629834 | Altru Health System | Non-Pharmacy Dispensing Site | 1200 S Columbia Rd, Grand Forks, ND 58201-4036 | 2011-12-13 |
| 1790060937 | Mercy Medical Center | Non-Pharmacy Dispensing Site | 1301 15th Ave W, Williston, ND 58801-3821 | 2011-10-19 |
| 1679869697 | Hans Bjellum, Md, PC | Non-Pharmacy Dispensing Site | 4622 40th Ave S, Fargo, ND 58104-4394 | 2011-06-28 |
| Find all providers with the same taxonomy | ||||
| City | WATFORD CITY |
| Zip Code | 58854 |
Please comment or provide details below to improve the information on MCKENZIE COUNTY HEALTHCARE SYSTEMS INC.
| 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.