Organization Name: | MERCY HOSPITAL, INC |
NPI Number: | 1275608242 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GREG GOMBAR (ADMINISTRATOR) |
Mailing Address: | 2001 Vail Ave Charlotte |
State: | NC US |
Postal Code: | 282071219 |
Phone Number: | 7043795000 |
Fax Number: | 7043795695 |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 04/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |