MCKENZIE COUNTY HEALTHCARE SYSTEMS INC (NPI# 1457374217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457374217 |
Entity Type | Organization |
Organization Name | MCKENZIE COUNTY HEALTHCARE SYSTEMS INC |
Other Organization Name | MCHS CLINIC |
Practice Address |
525 N Main St Watford City ND 58854-7313 |
Practice Telephone | 7018423771 |
Practice Fax Number | 7018424025 |
Mailing Telephone | 7018423771 |
Mailing Fax Number | 7018424025 |
Enumeration Date | 2006-07-25 |
Last Update Date | 2007-12-13 |
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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ND | 5164 | 05 | |
ND | BLUE CROSS RURAL HEALTH | 24639 | 01 |
Other Name | Type Code |
---|---|
MCHS Clinic | 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 |
1427079854 | Mckenzie County Healthcare Systems Inc | Medicare Defined Swing Bed Unit | 516 North Main Street, Watford City, ND 58854 | 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 |
1518988948 | Mckenzie County Healthcare Systems Inc | General Acute Care Hospital | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2006-07-21 |
Street Address |
525 N MAIN ST |
City | WATFORD CITY |
State | ND |
Zip Code | 58854-7313 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073917480 | Jessica Marie Heggen | Nurse Practitioner | 525 N Main St, Watford City, ND 58854-7313 | 2014-10-14 |
1659705507 | Kirsten Vetterkind | Nurse Practitioner | 525 N Main St, Attn: Tucker Petersen, Coo, Watford City, ND 58854-7313 | 2013-08-28 |
1063420495 | Mckenzie County Healthcare Systems Inc | Clinic/Center | 525 N Main St, Watford City, ND 58854-7313 | 2006-08-03 |
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 | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457963274 | Nelson County Health System | Clinic/Center | 115 South St E, Michigan, ND 58259-4120 | 2020-08-21 |
1821637828 | Christian Unity Hospital Corporation | Clinic/Center | 503 Park St W Ste B, Park River, ND 58270-4138 | 2019-12-23 |
1023550118 | Northwood Deaconess Health Center | Clinic/Center | 308 Whinery Street, Binford, ND 58416 | 2016-11-07 |
1689085797 | Northwood Deaconess Health Center | Clinic/Center | 611 Towner Ave, Larimore, ND 58251 | 2014-05-12 |
1043649486 | Jacobson Memorial Hospital Care Center | Clinic/Center | 215 3rd Ave W, Richardton, ND 58652-7109 | 2013-11-06 |
1700064599 | Rolla Eye Clinic | Clinic/Center | 118 3rd St. Ne, Rolla, ND 58367-1170 | 2008-02-05 |
1891859948 | Nelson County Health System | Clinic/Center | 117 2nd St West, Lakota, ND 58344 | 2006-12-21 |
1760570394 | West River Health Services | Clinic/Center | 211 Main Street, Scranton, ND 58653 | 2006-10-10 |
1942398508 | West River Health Services | Clinic/Center | 420 Pacific Ave, Mott, ND 58646 | 2006-10-10 |
1871691519 | Jacobson Memorial Hospital Care Center | Clinic/Center | 603 East St N, Elgin, ND 58533-7105 | 2006-09-20 |
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.