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General NPI Number Information
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NPI Number | 1477424398
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Entity Type | Organization
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Legal Business Name | MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 525 N MAIN ST
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City | WATFORD CITY
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State | ND
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Zip | 58854-7313
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Country | US
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Telephone | 701-444-7810
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Fax | 701-444-1122
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Provider Business Mailing Address
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Address Line | 709 4TH AVE NE
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City | WATFORD CITY
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State | ND
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Zip | 58854-7628
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Country | US
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Telephone | 701-842-3000
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Fax | 701-842-4025
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Authorized Official
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Title or Position | CEO
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Name | PETER EDIS
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Credential |
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Telephone | 701-444-8609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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