# MERCY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013193523
- **Authorized official:** MR. KEITH HEUSER (ADMINISTRATOR)
- **Authorized official phone:** (701) 845-6400

## Contact information

- **Practice address:** 570 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
- **Practice address phone:** (701) 845-6400
- **Practice address fax:** (701) 845-6413
- **Mailing address:** 570 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
- **Mailing address phone:** (701) 845-6400
- **Mailing address fax:** (701) 845-6413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 174 | ND | Yes |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 03/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20388 | — | ND |
