Organization
MERCY MEDICAL CENTER
Active
Other names
Chi St Alexius Health Williston
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RUARK (VP-OPERATIONAL FINANCE)
(701) 774-7400
Entity
Organization
Contact information
Practice address
1213 15TH AVE W, WILLISTON, ND 58801
(701) 774-7470
Mailing address
1213 15TH AVE W, WILLISTON, ND 58801-3800
(701) 774-7470
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
5052
ND
261QC0050X
Critical Access Hospital Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10178
—
ND
05
—
3500742
—
MT
Enumeration date
01/03/2007
Last updated
04/29/2025
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