| Organization Name: | MERCY HOSPITAL OF DEVILS LAKE |
| NPI Number: | 1225009038 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J LOFF (CFO) |
| Mailing Address: | 1031 7th St Ne Devils Lake |
| State: | ND US |
| Postal Code: | 583012798 |
| Phone Number: | 7016622131 |
| Fax Number: | 7016629651 |
| NPI Enumeration Date: | 01/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 6015A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |