MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER – NPI #1609992577
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER is a substance abuse rehabilitation facility located in WILLISTON, ND. NPPES has assigned the NPI number 1609992577 to MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER on March 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 19 years ago on Oct 03, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER below.

NPI Profile for
MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER

NPI Number
1609992577
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER
Primary location
1301 15TH AVE W
WILLISTON, ND 58801-3821
Phone: (701) 774-7401 Fax: (701) 774-7479
Mailing address
Same as primary location
Organization Subpart
Yes - MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER is subpart of another organization.
Authorized Official
KERRY MONSON
VP FINANCE CFO
Phone: (701) 774-7408
Updated
Identifiers

Identifiers for MERCY RECOVERY CENTER RESIDENTIAL TREATMENT CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS OF NDND098917
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
ND 1022

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.