MCKENZIE COUNTY HEALTHCARE SYSTEMS INC (NPI# 1518988948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518988948 |
| Entity Type | Organization |
| Organization Name | MCKENZIE COUNTY HEALTHCARE SYSTEMS INC |
| Other Organization Name | MCKENZIE COUNTY HOSPITAL |
| Practice Address |
709 4th Ave Ne Watford City ND 58854-7628 |
| Mailing 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 | 2020-05-07 |
| Authorized Official Name | DAN 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1621 | 05 | |
| MT | 0413967 | 05 | |
| SD | 0127892 | 05 | |
| ND | BLUE CROSS NORTH DAKOTA | 24632 | 01 |
| SD | 5527892 | 05 | |
| ND | 21430 | 05 |
| 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 |
| 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 |
| 1457374217 | Mckenzie County Healthcare Systems Inc | Clinic/Center | 525 N Main St, Watford City, ND 58854-7313 | 2006-07-25 |
| 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 |
| 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 |
| 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 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184044687 | Mckenzie County Healthcare Systems, Inc | General Acute Care Hospital | 516 N Main St, Watford City, ND 58854-7310 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396006953 | Niran Kotrapu | General Acute Care Hospital | 1048 N Parkview Dr, Bismarck, ND 58501-2469 | 2012-05-30 |
| 1457477218 | St Aloisius Hospital Inc | General Acute Care Hospital | 325 Brewster St E, Harvey, ND 58341-1653 | 2007-03-22 |
| 1861556102 | Union Hospital Society of Mayvile Nd | General Acute Care Hospital | 42 6th Avenue Se, Mayville, ND 58257 | 2006-12-21 |
| 1760542500 | Pembina County Memorial Hospital Association | General Acute Care Hospital | 301 Mountain St E, Cavalier, ND 58220 | 2006-12-11 |
| 1184725194 | Sanford Health Network North | General Acute Care Hospital | 12 3rd St Se, Hillsboro, ND 58045-4840 | 2006-09-25 |
| 1518061803 | Sanford Health Network North | General Acute Care Hospital | 42 6th Ave Se, Mayville, ND 58257-1506 | 2006-09-08 |
| 1215942032 | St. Luke's Hospital | General Acute Care Hospital | 702 1st Sw, Crosby, ND 58730-0010 | 2006-07-30 |
| 1154352169 | Towner County Medical Center Inc | General Acute Care Hospital | Highway 281 North, Cando, ND 58324-0688 | 2006-07-06 |
| 1295772804 | Wishek Hospital-clinic Association | General Acute Care Hospital | 1007 4th Ave S, Wishek, ND 58495-7527 | 2006-06-01 |
| 1750328662 | Cavalier County Memorial Hospital Association | General Acute Care Hospital | 909 2nd St, Langdon, ND 58249-2407 | 2006-05-31 |
| 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.