CHI ST ALEXIUS HEALTH WILLISTON - NPI 1144334483 - Dietitian, Registered in Williston, ND

Q: What is Mercy Medical Center's NPI number?

The NPI number for Mercy Medical Center is 1144334483. It was assigned to this organization in the NPPES registry on August 17, 2006. The provider is doing business as Chi St Alexius Health Williston.

Q: What is Mercy Medical Center's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

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About Chi St Alexius Health Williston NPPES

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

CHI ST ALEXIUS HEALTH WILLISTON (NPI 1144334483) is a healthcare organization registered as a dietitian, registered in Williston, North Dakota and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through August 16, 2027 and lists Joseph Ruark, Vp - Operational Finance, as its authorized official.

NPPES Registry Identity

NPI1144334483

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameMERCY MEDICAL CENTER

Location Address1301 15TH AVE WWilliston, ND 58801-3821

Mailing Address1301 15th Ave WWilliston, ND 58801-3821 · (701) 774-7470 · Fax (701) 774-7479

Phone(701) 774-7470

Fax(701) 774-7479

Organization SubpartNo

Authorized OfficialJoseph RuarkVp - Operational Finance · (701) 774-7400

Enumeration DateAugust 17, 2006

Last NPPES UpdateNovember 17, 2016

✔ NPI 1144334483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in ND · 50502A

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1301 15TH AVE W, Williston, ND 58801

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Other Names 1

Doing Business AsChi St Alexius Health Williston

Other Identifiers 4

Medicare OSCAR/certification350017

Other00659001ND · Blue Cross Of Nd

Medicaid01059ND

Medicare OSCAR/certification351334ND

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Accreditation 35D0409305

Mercy Medical Center Of Williston · Williston, ND

Active · expires Aug 16, 2027

CLIA Number35D0409305

Laboratory TypeHospital

Certificate Effective DateAugust 17, 2025

Certificate Expiration DateAugust 16, 2027

Laboratory DirectorJared Schmidt

Laboratory Phone(701) 774-7432

Laboratory LocationMercy Medical Center Of Williston1301 15th Ave W, Williston, ND 58801

CLIA data matches this NPI record on: Address Name

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

YESUL SONG

Pharmacist