MERCY SERVICES CORPORATION (NPI# 1366546921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366546921 |
| Entity Type | Organization |
| Organization Name | MERCY SERVICES CORPORATION |
| Other Organization Name | PARKWAY MOBILITY & MEDICAL SUPPLY |
| Practice Address |
2475 Nw Stewart Pkwy Roseburg OR 97470-1596 |
| Mailing Address |
2475 Nw Stewart Pkwy Roseburg OR 97471-1596 |
| Practice Telephone | 5416772438 |
| Practice Fax Number | 5416776587 |
| Mailing Telephone | 5416772438 |
| Mailing Fax Number | 5416776587 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | JOHN S. KASBERGER (VICE PRESIDENT/CFO) |
| Authorized Official Telephone | 5416772458 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 161179-13 | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 101-600 | 05 |
| Other Name | Type Code |
|---|---|
| Parkway Mobility & Medical Supply | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043321375 | Mercy Services Corporation | Pharmacy | 2475 Nw Stewart Pkwy, Roseburg, OR 97470-1596 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MERCY SERVICES CORPORATION | 2700 Nw Stewart Pkwy, Roseburg, OR 97471 |
| Street Address |
2475 NW STEWART PKWY |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-1596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043321375 | Mercy Services Corporation | Pharmacy | 2475 Nw Stewart Pkwy, Roseburg, OR 97470-1596 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335073 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 621 W Madrone St Ste P1, Roseburg, OR 97470-3090 | 2019-09-18 |
| 1851958086 | Youwalk Today, Inc. | Durable Medical Equipment & Medical Supplies | 1601 Gem Dr, Roseburg, OR 97471-8647 | 2019-05-22 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1801184072 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1236 Nw Garden Valley Blvd, Roseburg, OR 97471-1925 | 2011-07-21 |
| 1114175015 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1377 Ne Stephens St, Roseburg, OR 97470-2159 | 2008-09-04 |
| 1457520041 | Douglas Medical Equipment Supply LLC | Durable Medical Equipment & Medical Supplies | 1813 W. Harvard Ave, Ste 212, Roseburg, OR 97471 | 2008-02-27 |
| 1053485102 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 832 W Harvard Ave, Roseburg, OR 97471-2960 | 2006-11-20 |
| 1699854588 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 1810 Nw Mulholland Dr, Roseburg, OR 97470-1945 | 2006-11-03 |
| 1033228317 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 444 Stephens Street Southeast, Roseburg, OR 97470-3136 | 2006-08-30 |
| 1487763777 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1430 Northwest Garden Valley Road, Roseburg Valley Mall, Roseburg, OR 97470-1766 | 2006-08-30 |
| Find all providers in ROSEBURG | ||||
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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.