Organization
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Active
Parent organization
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Other names
MCHS-Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Authorized official
PETER EDIS (CEO)
(701) 444-8609
Entity
Organization
Contact information
Practice address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 842-3771
(701) 842-4025
Mailing address
709 4TH AVE NE, WATFORD CITY, ND 58854-7628
(701) 842-3771
(701) 842-4025
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13173
—
ND
01
—
6340001
BLUE CROSS BLUE SHIELD
ND
05
—
720528
—
MT
05
—
MD421ND
—
AL
Enumeration date
08/03/2006
Last updated
06/09/2023
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