MERCY MEDICAL, LLC (NPI# 1124633763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124633763 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL, LLC |
| Practice Address |
4629 Quitman Hwy Hodge LA 71247 |
| Mailing Address |
Po Box 70 Hodge LA 71247-0070 |
| Practice Telephone | 3182591100 |
| Practice Fax Number | 3182591333 |
| Mailing Telephone | 3182591100 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | MICHELLE MARSE (CREDENTIALING) |
| Authorized Official Telephone | 2145502883 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY MEDICAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mercy Medical Health Center | Doing Business As Name - Organization |
| Street Address |
4629 QUITMAN HWY |
| City | HODGE |
| State | LA |
| Zip Code | 71247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879034 | Mercy Medical Health Center | Clinic/Center | 4629 Quitman Hwy, Hodge, LA 71247 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162972 | Mercy Medical Health Center | Pharmacy | 4631 Quitman Hwy, Hodge, LA 71247 | 2020-07-30 |
| 1063945434 | Mercy Medical Health Center | Clinic/Center | 4633 Quitman Highway, Hodge, LA 71247 | 2017-04-04 |
| 1700222379 | Shane M Mcvay | Nurse Practitioner | 4707 Quitman Highway, Hodge, LA 71247 | 2013-05-22 |
| 1477785798 | Kimberly G. Brunson | Nurse Practitioner | 4633 Quitman Hwy, Hodge, LA 71247 | 2009-08-20 |
| 1427675586 | Lacey Lamkin Brown | Nurse Practitioner | 4633 Quitman Highway, Hodge, LA 71247 | 2020-07-06 |
| 1770004236 | Stacy D Ferrell | Nurse Practitioner | 4633 Quitman Hwy, Hodge, LA 71247-0070 | 2017-07-05 |
| 1750307666 | First Choice Home Health Agency | Home Health | 1015 First Street, Hodge, LA 71247-0250 | 2006-07-14 |
| 1669498572 | First Choice Home Health Agency | Home Health | 1015 First Street, Hodge, LA 71247-0250 | 2006-07-14 |
| 1841225299 | First Choice Home Health Agency | Home Health | 1015 First Street, Hodge, LA 71247-0250 | 2006-07-12 |
| 1477587012 | First Choice Home Health Agency | Home Health | 1015 First Street, Hodge, LA 71247-0250 | 2006-07-10 |
| Find all providers in zip 71247 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063945434 | Mercy Medical Health Center | Clinic/Center | 4633 Quitman Highway, Hodge, LA 71247 | 2017-04-04 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.