MERCY MEDICAL CENTER


Address: 1301 15th Ave W, Williston, ND 58801-3821
Phone: 9526532568

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site Suppliers

Other Provider/Organization Names

Other Name Type Code
Mercy Hospital Other Name - Individual/Organization

Other Provider IDs and Locations

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

Other Data Sources

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

Office Location

Street Address 1301 15TH AVE W
City WILLISTON
State ND
Zip Code 58801-3821

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City WILLISTON
Zip Code 58801

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Dataset Information

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.

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