| Mercy Medical Center | |
|
1301 15th Ave W, Williston, ND 58801-3821 | |
| (701) 774-7470 | |
| (701) 774-7479 |
| Full Name | Mercy Medical Center |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1301 15th Ave W, Williston, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144334483 | NPI | - | NPPES |
| 00659001 | Other | ND | BLUE CROSS OF ND |
| 01059 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 50502A (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Medical Center 1301 15th Ave W, Williston, ND 58801-3821 Ph: (701) 774-7470 | Mercy Medical Center 1301 15th Ave W, Williston, ND 58801-3821 Ph: (701) 774-7470 |
Jeanine Hicks, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7401 Fax: 701-774-7479 | |
Ms. Kalie Rider, M.S., R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 14641 43rd St Nw, Williston, ND 58801 Phone: 701-770-2228 | |
Tammy Bearce, L.R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7492 Fax: 701-774-7479 | |
Gracia Erickson, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7492 Fax: 701-774-7479 | |
Nicole Mcatee, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 | |
Sandra Horob, LRD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7492 Fax: 701-774-7479 |