Organization
MERCY HOSPITAL OF DEVILS LAKE
Active
Other names
CHI St Alexius Health Devils Lake
Organization subpart
No
Provider details
NPI number
Authorized official
KURT SARGENT (VP OPERATIONAL FINANCE)
(701) 237-8064
Entity
Organization
Contact information
Practice address
1031 7TH ST NE, DEVILS LAKE, ND 58301-2798
(701) 662-2131
(701) 662-9651
Mailing address
1031 7TH ST NE, DEVILS LAKE, ND 58301-2798
(701) 662-2131
(701) 662-9651
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
5012
ND
261QC0050X
Critical Access Hospital Clinic/Center
5012
ND
282NC0060X
Critical Access Hospital
Primary
5012
ND
282NC0060X
Critical Access Hospital
5012A
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001101
—
ND
05
—
1454896
—
ND
Enumeration date
02/01/2006
Last updated
07/12/2017
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