Mckenzie County Healthcare Systems Inc | |
709 4th Ave Ne Watford City ND 58854-7628 | |
(701) 843-3771 | |
(701) 842-4025 |
Full Name | Mckenzie County Healthcare Systems Inc |
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Speciality | General Acute Care Hospital |
Location | 709 4th Ave Ne, Watford City, North Dakota |
Authorized Official Name and Position | Cheryl Lynn Batchelor (CFO) |
Authorized Official Contact | 9182900332 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mckenzie County Healthcare Systems Inc 709 4th Ave Ne Watford City ND 58854-7628 Ph: (701) 872-3771 | Mckenzie County Healthcare Systems Inc 709 4th Ave Ne Watford City ND 58854-7628 Ph: (701) 843-3771 |
NPI Number | 1518988948 |
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Provider Enumeration Date | 07/21/2006 |
Last Update Date | 05/13/2025 |
Medicare PECOS PAC ID | 5890768006 |
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Medicare Enrollment ID | O20061104000557 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518988948 | NPI | - | NPPES |
5527892 | Medicaid | SD | |
0413967 | Medicaid | MT | |
203903 | Medicaid | AZ | |
21430 | Medicaid | ND | |
0127892 | Medicaid | SD | |
1621 | Medicaid | ND | |
24632 | Other | ND | BLUE CROSS NORTH DAKOTA |
Provider Name | Craig Donald Smith |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1275602740 PECOS PAC ID: 7214021864 Enrollment ID: I20070913000533 |
Provider Name | Corey J Samuelson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649454307 PECOS PAC ID: 3678655677 Enrollment ID: I20080130000162 |
Provider Name | Tracy B Tomjack |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1508179854 PECOS PAC ID: 4981829314 Enrollment ID: I20140627000620 |
Provider Name | Jessica Marie Comeau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073917480 PECOS PAC ID: 7810118122 Enrollment ID: I20141029001459 |
Provider Name | Lucinda L Mundorf |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497732374 PECOS PAC ID: 7810913951 Enrollment ID: I20190311001651 |
Provider Name | Michelle L Lopez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679852917 PECOS PAC ID: 6800050865 Enrollment ID: I20191211000948 |
Provider Name | Dean P J Williams |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1104841501 PECOS PAC ID: 6103721758 Enrollment ID: I20200411000296 |
Provider Name | Maria Marchenko |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1821248451 PECOS PAC ID: 1456539980 Enrollment ID: I20200527002309 |
Mckenzie County Healthcare Systems Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 4th Ave Ne, Watford City, ND 58854 Phone: 701-842-3771 Fax: 701-842-4025 | |
Innovative Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 N Main St Ste 311, Watford City, ND 58854 Phone: 701-444-2888 Fax: 701-444-2813 | |
Mckenzie County Healthcare Systems Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 4th Ave Ne, Watford City, ND 58854 Phone: 701-842-3771 Fax: 701-842-4025 | |
Anova Family Health Center Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 113 Main Street South, Watford City, ND 58854 Phone: 701-842-6400 Fax: 701-842-6403 |