# MCKENZIE COUNTY HEALTHCARE SYSTEMS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
- **Other names:** Good Shepherd Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1619998358
- **Legal business name:** MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
- **Authorized official:** REBECCA LYNN BLAHOSKI (CLINIC DIRECTOR)
- **Authorized official phone:** (701) 444-8746

## Contact information

- **Practice address:** 709 4TH AVE NE, WATFORD CITY, ND 58854-7628
- **Practice address phone:** (701) 444-2331
- **Practice address fax:** (701) 444-4629
- **Mailing address:** 709 4TH AVE NE, WATFORD CITY, ND 58854-7628
- **Mailing address phone:** (701) 444-2331
- **Mailing address fax:** (701) 444-4629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 06/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30449 | — | ND |