MCKENZIE COUNTY HEALTHCARE SYSTEMS INC (NPI# 1427079854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427079854 |
| Entity Type | Organization |
| Organization Name | MCKENZIE COUNTY HEALTHCARE SYSTEMS INC |
| Other Organization Name | MCKENZIE COUNTY HOSPITAL |
| Practice Address |
516 North Main Street Watford City ND 58854 |
| Practice Telephone | 7018423000 |
| Practice Fax Number | 7018424503 |
| Mailing Telephone | 7018423000 |
| Mailing Fax Number | 7018424503 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | DANIEL R KELLY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7018423000 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCKENZIE COUNTY HEALTHCARE SYSTEMS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1963 | 05 | |
| ND | 21430 | 05 | |
| ND | BLUE CROSS BLUE SHIELD ND | 24640 | 01 |
| Other Name | Type Code |
|---|---|
| McKenzie County Hospital | Doing Business As Name - Organization |
| 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 |
| 1083224067 | Mckenzie County Healthcare Systems Inc | Family Medicine | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2020-08-05 |
| 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 |
516 NORTH MAIN STREET |
| City | WATFORD CITY |
| State | ND |
| Zip Code | 58854 |
| 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 |
| 1184645533 | Gary W Ramage | General Practice | 525 North Main Street, Watford City, ND 58854 | 2006-07-21 |
| 1477722262 | Matthew John Hjelden | Audiologist | 109 5th St Sw, Watford City, ND 58854 | 2008-02-26 |
| Find all providers in zip 58854 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518068949 | Southwest Healthcare Services | Medicare Defined Swing Bed Unit | 14 6th Ave Sw, Bowman, ND 58623-0009 | 2006-09-26 |
| 1003913518 | Northwood Deaconess Health Center | Medicare Defined Swing Bed Unit | 4 North Park Street, Northwood, ND 58267-0190 | 2006-09-19 |
| 1609972884 | Mercy Hospital of Devils Lake | Medicare Defined Swing Bed Unit | 1031 7th Street Ne, Devils Lake, ND 58301-2798 | 2006-09-15 |
| 1861462442 | Garrison Memorial Hospital | Medicare Defined Swing Bed Unit | 407 3rd Ave Se, Garrison, ND 58540-7235 | 2006-01-25 |
| 1487889614 | St Joseph's Hospital and Health Center | Medicare Defined Swing Bed Unit | 2500 Fairway St, Dickinson, ND 58601 | 2009-05-18 |
| 1063634210 | Pembina County Memorial Hospital Association | Medicare Defined Swing Bed Unit | 301 Mountain St E, Cavalier, ND 58220-0380 | 2007-05-03 |
| 1639296007 | St Aloisius Hospital Inc | Medicare Defined Swing Bed Unit | 325 Brewster St E, Harvey, ND 58341-1653 | 2007-03-23 |
| 1619033917 | Presentation Medical Center | Medicare Defined Swing Bed Unit | 213 2nd Ave Ne, Rolla, ND 58367-0759 | 2006-12-29 |
| 1689735235 | Nelson County Health System | Medicare Defined Swing Bed Unit | 200 North Main Street, Mcville, ND 58254-0367 | 2006-12-13 |
| 1770669921 | Mountrail County Medical Center, Inc. | Medicare Defined Swing Bed Unit | 615 6th St Se, Stanley, ND 58784-4444 | 2006-10-31 |
| Find all providers with the same taxonomy | ||||
| City | WATFORD CITY |
| Zip Code | 58854 |
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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.