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Organization
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Active
Organization
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Active
Parent organization
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Other names
Good Shepherd Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Authorized official
DANIEL R. KELLY (CHIEF EXECUTIVE OFFICER)
(701) 842-3000
Entity
Organization
Contact information
Practice address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 444-2331
(701) 444-4629
Mailing address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 444-2331
(701) 444-4629
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30767
—
ND
Enumeration date
07/27/2006
Last updated
12/12/2024
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