MERCY MEDICAL HEALTH CENTER (NPI# 1548879034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548879034 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL HEALTH CENTER |
| Other Organization Name | MERCY MEDICAL QUICK CARE |
| 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 |
| Mailing Fax Number | 3182591333 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | KIMBERLY G. BRUNSON (CEO) |
| Authorized Official Telephone | 3182591100 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY MEDICAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mercy Medical Quick Care | Doing Business As Name - Organization |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY MEDICAL HEALTH CENTER | 4633 Quitman Hwy, Hodge, LA 71247 |
| Street Address |
4629 QUITMAN HWY |
| City | HODGE |
| State | LA |
| Zip Code | 71247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633763 | Mercy Medical, LLC | Clinic/Center | 4629 Quitman Hwy, Hodge, LA 71247 | 2020-09-10 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1699383026 | New Orleans Women's Wellness LLC | Clinic/Center | 535 S Galvez St, New Orleans, LA 70119-7011 | 2020-07-22 |
| 1992322010 | Tyra Cole | Clinic/Center | 405 Gretna Blvd Ste 112, Gretna, LA 70053-4945 | 2020-07-06 |
| 1124645130 | Bayou Telemedicine LLC | Clinic/Center | 1703 Arizona Ave, Monroe, LA 71202-3632 | 2020-06-26 |
| 1699392589 | Minden Physician Practices LLC | Clinic/Center | 170 Healthcare Plaza, Haughton, LA 71037 | 2020-06-26 |
| 1245853803 | Alexandria Primary Care Clinic | Clinic/Center | 224 Pecan Park Ave Rm B1, Alexandria, LA 71303-3308 | 2020-05-18 |
| 1326676479 | Royal Health & Wellness Clinic LLC | Clinic/Center | 108 Riverbirch Dr, Lafayette, LA 70508-1819 | 2020-04-01 |
| 1215560974 | Calcasieu Cameron Hospital Service District | Clinic/Center | 703 Cypress St Ste A, Sulphur, LA 70663-5053 | 2020-02-20 |
| 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.