# MERCY MEDICAL CENTER

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

## Provider details

- **NPI number:** 1588773634
- **Authorized official:** MS. KERRY S. MONSON (VP FINANCE/CFO)
- **Authorized official phone:** (701) 774-7470

## Contact information

- **Practice address:** 1301 15TH AVE W, WILLISTON, ND 58801-3821
- **Practice address phone:** (701) 774-7470
- **Practice address fax:** (701) 774-7479
- **Mailing address:** 1301 15TH AVE W, WILLISTON, ND 58801-3821
- **Mailing address phone:** (701) 774-7470
- **Mailing address fax:** (701) 774-7479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 5052A | ND | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20790 | — | ND |
| 05 | — | 2121783 | — | MT |