# MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

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

## Provider details

- **NPI number:** 1295568376
- **Authorized official:** PETER EDIS (CEO)
- **Authorized official phone:** (701) 444-8609

## Contact information

- **Practice address:** 3 4TH ST E, WILLISTON, ND 58801-5350
- **Practice address phone:** (701) 577-6337
- **Practice address fax:** (701) 577-6338
- **Mailing address:** 709 4TH AVE NE, WATFORD CITY, ND 58854-7628
- **Mailing address phone:** (701) 842-3000
- **Mailing address fax:** (701) 842-4025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2024
- **Last updated:** 04/11/2025