Organization
MERCY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH HEUSER (ADMINISTRATOR)
(701) 845-6400
Entity
Organization
Contact information
Practice address
570 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6400
(701) 845-6413
Mailing address
570 CHAUTAUQUA BLVD, VALLEY CITY, ND 58072-3145
(701) 845-6400
(701) 845-6413
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33979
—
ND
Enumeration date
01/15/2008
Last updated
03/15/2012
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