Organization
MERCY HOSPITAL OF DEVILS LAKE
Active
Organization
MERCY HOSPITAL OF DEVILS LAKE
Active
Parent organization
MERCY HOSPITAL OF DEVILS LAKE
Other names
CHI ST ALEXIUS HEALTH DEVILS LAKE CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL OF DEVILS LAKE
Authorized official
ANDREW JOSEPH LANKOWICZ (PRESIDENT)
(701) 662-2131
Entity
Organization
Contact information
Practice address
425 COLLEGE DR S STE 14, DEVILS LAKE, ND 58301
(701) 662-8662
Mailing address
425 COLLEGE DR S STE 14, DEVILS LAKE, ND 58301-3537
(701) 662-8662
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QC0050X
Critical Access Hospital Clinic/Center
5012
ND
261QM1300X
Multi-Specialty Clinic/Center
5012
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475134
—
ND
Enumeration date
06/13/2018
Last updated
09/26/2018
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