Organization
MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER
Active
Parent organization
MERCY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEDICAL CENTER
Authorized official
MS. KERRY S. MONSON (VP FINANCE CFO)
(701) 774-7408
Entity
Organization
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7401
(701) 774-7479
Mailing address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 774-7401
(701) 774-7479
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1022
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098917
BLUE CROSS OF ND
ND
Enumeration date
03/22/2007
Last updated
10/03/2007
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