MERCY HOSPITAL, INC (NPI# 1487825170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487825170 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL, INC |
| Practice Address |
2001 Vail Avenue Cmc Mercy Charlotte NC 28207-1219 |
| Mailing Address |
501 Billingsley Road Behavioral Health Center Cmc Rando Charlotte NC 28211-1009 |
| Practice Telephone | 7043045248 |
| Practice Fax Number | 7043045514 |
| Mailing Telephone | 7043582710 |
| Mailing Fax Number | 7043582938 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | CHRISTOPHER T. RICH (DIRECTOR, BEHAVIORAL HEALTH DEVELOP) |
| Authorized Official Telephone | 7043582719 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
H0042 | NC | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275608242 | Mercy Hospital, Inc | General Practice | 2001 Vail Ave, Charlotte, NC 28207-1219 | 2006-11-22 |
| 1992870968 | Mercy Hospital, Inc | General Practice | 10628 Park Rd, Charlotte, NC 28210-8407 | 2006-11-22 |
| 1821039975 | Mercy Hospital, Inc | General Acute Care Hospital | 10628 Park Rd, Charlotte, NC 28210-8407 | 2006-06-09 |
| 1497792550 | Mercy Hospital, Inc | General Acute Care Hospital | 2001 Vail Ave, Charlotte, NC 28207-1219 | 2006-05-31 |
| Street Address |
2001 VAIL AVENUE CMC MERCY |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043201361 | Jason S Burgess | Surgery | 2001 Vail Avenue, Ste 320, Charlotte, NC 28207-1107 | 2005-11-04 |
| 1902028343 | Michael W. Dobson | Surgery | 2001 Vail Avenue, Ste 320, Charlotte, NC 28207-1107 | 2007-05-03 |
| 1992880884 | Patrick Russell Burnside | Emergency Medicine | 2001 Vail Avenue, Carolinas Medical Center-mercy Dept Em, Charlotte, NC 28207 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1790049039 | Hope Homes, Inc | Clinic/Center | 7804 Fairview Rd, Suite 166, Charlotte, NC 28226-4998 | 2012-07-02 |
| 1447438106 | Mcleod Addictive Disease Center, Inc | Clinic/Center | 521 Clanton Road, Charlotte, NC 28217-1309 | 2008-02-05 |
| 1336760222 | Northstar Clinical Services | Clinic/Center | 322 Lamar Ave Ste 220, Charlotte, NC 28204-2436 | 2020-05-01 |
| 1831678812 | Harmony Recovery Center, LLC | Clinic/Center | 1611 E 7th St, Charlotte, NC 28204-2411 | 2018-08-09 |
| 1568941672 | Midwood Addiction Treatment, LLC | Clinic/Center | 1111 The Plz, Charlotte, NC 28205-5039 | 2018-08-09 |
| 1366931701 | Harmony Recovery Center, LLC | Clinic/Center | 1611 E 7th St, Charlotte, NC 28204 | 2018-05-01 |
| 1134671399 | The Blanchard Institute | Clinic/Center | 10348 Park Rd, Charlotte, NC 28210-8507 | 2016-11-03 |
| 1699083899 | Primary Care Solutions Inc. | Clinic/Center | 5601 Executive Center Dr Ste 200, Charlotte, NC 28212-8841 | 2010-09-22 |
| 1275681751 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 7825 Ballantyne Commons Pkwy, Suite 110, Charlotte, NC 28277-3174 | 2007-01-08 |
| Find all providers in CHARLOTTE | ||||
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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.