| Organization Name: | MERCY HOSPITAL, INC |
| NPI Number: | 1992870968 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREG GOMBAR (ADMINISTRATOR) |
| Mailing Address: | 10628 Park Rd Charlotte |
| State: | NC US |
| Postal Code: | 282108407 |
| Phone Number: | 7045432025 |
| Fax Number: | 7045432010 |
| 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: | |