MERCY MEDICAL CENTER (NPI# 1790060937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790060937 |
Entity Type | Organization |
Organization Name | MERCY MEDICAL CENTER |
Other Organization Name | MERCY HOSPITAL |
Practice Address |
1301 15th Ave W Williston ND 58801-3821 |
Mailing Address |
6501 City West Pkwy Eden Prairie MN 55344-3248 |
Practice Telephone | 9526532568 |
Mailing Telephone | 9526532525 |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |
Authorized Official Name | KERRY MONSON (CFO) |
Authorized Official Telephone | 7017747408 |
Is Organization Subpart | Y |
Parent Organization Name | MERCY MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Other Name | Type Code |
---|---|
Mercy Hospital | Other Name - Individual/Organization |
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 |
1301 15TH AVE W |
City | WILLISTON |
State | ND |
Zip Code | 58801-3821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922006519 | Advanced Diagnostic Radiology PC | Radiology | 1301 15th Ave W, Williston, ND 58801-3821 | 2005-07-08 |
1487251930 | Elizabeth Coulson | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2020-10-07 |
1700420288 | Heather Rose Hass | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-29 |
1740822584 | Anna Elizabeth Wolf | Nurse Practitioner | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-10-14 |
1124678297 | Janet Williams | Registered Nurse | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-19 |
1396394904 | Chelsea Nichole Smith | Advanced Practice Midwife | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-06 |
1952959868 | Kaleb Barstad | Pharmacist | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-09-04 |
1447819586 | Craig D White | Registered Nurse | 1301 15th Ave W, Williston, ND 58801-3821 | 2019-06-12 |
1043780828 | Yesul Song | Pharmacist | 1301 15th Ave W, Williston, ND 58801-3821 | 2018-12-05 |
1467938399 | Melissa Sue Gilbertson | Physician Assistant | 1301 15th Ave W, Williston, ND 58801 | 2018-07-13 |
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 | 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 |
---|---|---|---|---|
1962060939 | Quick Care Med LLC | Non-Pharmacy Dispensing Site | 517 W Noble Ave, Williston, FL 32696 | 2019-06-04 |
1073904199 | Planned Parenthood of Northern New England | Non-Pharmacy Dispensing Site | 75 Talcott Rd Ste 10, Williston, VT 05495-8122 | 2015-02-11 |
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 |
1548870520 | Mckenzie County Healthcare Systems Inc | Non-Pharmacy Dispensing Site | 709 4th Ave Ne, Watford City, ND 58854-7628 | 2020-08-05 |
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 |
1679869697 | Hans Bjellum, Md, PC | Non-Pharmacy Dispensing Site | 4622 40th Ave S, Fargo, ND 58104-4394 | 2011-06-28 |
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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.