MCHS-CLINIC
NPI 1063420495
Clinic/Center in Watford City, ND

Active since August 03, 2006CLIA 35D0409334 · Waiver
709 4TH AVE NE, WATFORD CITY, ND 58854(701) 842-3771(701) 842-4025 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mchs-clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCHS-CLINIC (NPI 1063420495) is a healthcare organization registered as a clinic/center in Watford City, North Dakota and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Peter Edis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063420495
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Location Address709 4TH AVE NEWatford City, ND 58854-7628
Mailing Address709 4th Ave NeWatford City, ND 58854-7628 · (701) 842-3771 · Fax (701) 842-4025
Fax(701) 842-4025
Organization SubpartYes
Authorized OfficialPeter EdisCeo · (701) 444-8609
Enumeration DateAugust 3, 2006
Last NPPES UpdateJune 9, 2023
NPPES CertifiedApril 10, 2023
NPI 1063420495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

709 4TH AVE NE, Watford City, ND 58854

Other Names 1

Doing Business AsMchs-clinic

Other Identifiers 4

Medicaid720528MT
Other6340001ND · Blue Cross Blue Shield
Medicaid13173ND
MedicaidMD421NDAL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 35D0409334

Mckenzie County Healthcare Sys/Clinic · Watford City, ND
Active · expires Aug 31, 2026
CLIA Number35D0409334
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRoselyn Daly
Laboratory Phone(701) 842-3771
Laboratory LocationMckenzie County Healthcare Sys/Clinic709 4th Ave NE, Watford City, ND 58854
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854
Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854
Non-Pharmacy Dispensing Site
709 4TH AVE NE
WATFORD CITY, ND 58854
Pediatrics
709 4TH AVE NE
WATFORD CITY, ND 58854
Pain Medicine (Interventional Pain Medicine)
709 4TH AVE NE, PAIN MANAGEMENT CLINIC
WATFORD CITY, ND 58854
General Practice
709 4TH AVE NE
WATFORD CITY, ND 58854
Case Manager/Care Coordinator
709 4TH AVE NE
WATFORD CITY, ND 58854
Allergy & Immunology (Allergy)
709 4TH AVE NE
WATFORD CITY, ND 58854

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckenzie County Healthcare Systems Inc's NPI number?

The NPI number for Mckenzie County Healthcare Systems Inc is 1063420495. It was assigned to this organization in the NPPES registry on August 3, 2006. The provider is doing business as Mchs-Clinic.

Where is Mckenzie County Healthcare Systems Inc located?

Mckenzie County Healthcare Systems Inc is located at 709 4th Ave NE, Watford City, ND 58854. The listed phone number is (701) 842-3771.

What is Mckenzie County Healthcare Systems Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Mckenzie County Healthcare Systems Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 35D0409334) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mckenzie County Healthcare Systems Inc accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Mckenzie County Healthcare Systems Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mckenzie County Healthcare Systems Inc was last updated on June 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.