Mercy Recovery Center Residential Treatment Center in Williston - Substance Abuse Rehabilitation Facility
Mercy Recovery Center Residential Treatment Center - NPI 1609992577
Mercy Recovery Center Residential Treatment Center is a Substance Abuse Rehabilitation Facility in Williston, North Dakota. Mercy Recovery Center Residential Treatment Center practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Mercy Recovery Center Residential Treatment Center is 1609992577. The last update date is 2007-10-03.
Mercy Recovery Center Residential Treatment Center's current location address is 1301 15th Ave W, Williston, North Dakota. You can contact this provider via phone number 7017747401 and fax number 7017747479. The mailing address for Mercy Recovery Center Residential Treatment Center is 1301 15th Ave W, Williston, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mercy Recovery Center Residential Treatment Center |
|---|---|
| Address | 1301 15th Ave W, Williston, North Dakota |
| Phone Number | 7017747401 |
| Fax Number | 7017747479 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP FINANCE |
|---|---|
| Authorized Official Name | Monson S. Kerry |
| Telephone Number | 7017747408 |
NPI Number Detail
| NPI Number | 1609992577 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-10-03 |
Provider Mailing Address Detail
| Address | 1301 15th Ave W |
|---|---|
| City | Williston |
| State | North Dakota (ND) |
| Post Code | 588013821 |
| Phone Number | 7017747401 |
| Fax Number | 7017747479 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | 1022 |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 98917 | ND | BLUE CROSS OF ND |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mercy Recovery Center Residential Treatment Center?
The Mercy Recovery Center Residential Treatment Center has been issued the NPI (National Provider Identifier) 1609992577 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Mercy Recovery Center Residential Treatment Center is located?
The Mercy Recovery Center Residential Treatment Center is situated at the following address: 1301 15Th Ave W, Williston, ND, 588013821.
What is Mercy Recovery Center Residential Treatment Center's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mercy Recovery Center Residential Treatment Center is Substance Abuse Rehabilitation Facility, and the corresponding taxonomy classification code for this specialized field is 324500000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609992577 to Mercy Recovery Center Residential Treatment Center?
The Centers for Medicare & Medicaid Services originally issued the 1609992577 to Mercy Recovery Center Residential Treatment Center on 2007-03-22.
As of what date was the information pertaining to Mercy Recovery Center Residential Treatment Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mercy Recovery Center Residential Treatment Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-03.
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