Organization
MERCY HOSPITAL
Active
Other names
Mercy Home Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LES WIETSTOCK (CFO)
(701) 845-1900
Entity
Organization
Contact information
Practice address
243 CENTRAL AVE N, VALLEY CITY, ND 58072-2965
(701) 845-6550
(701) 845-6552
Mailing address
570 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6400
(701) 845-6413
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4031A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055612
—
ND
Enumeration date
03/20/2006
Last updated
08/22/2020
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