MERCY MEDICAL CENTER, INC.


Address: 2675 Nw Edenbower Blvd, Roseburg, OR 97471-6201
Phone: 5416772384

MERCY MEDICAL CENTER, INC. (NPI# 1609811181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609811181
Entity Type Organization
Organization Name MERCY MEDICAL CENTER, INC.
Other Organization Name MERCY MEDICAL CENTER HOME HEALTH SERVICE
Practice Address 2675 Nw Edenbower Blvd
Roseburg
OR 97471-6201
Practice Telephone 5416772384
Practice Fax Number 5416772498
Mailing Telephone 5416772384
Mailing Fax Number 5416772498
Enumeration Date 2006-06-18
Last Update Date 2019-07-17
Authorized Official Name KELLY C. MORGAN (CEO/PRESIDENT)
Authorized Official Telephone 5416772466
Is Organization Subpart Y
Parent Organization Name MERCY MEDICAL CENTER, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 141133 OR Agencies

Other Provider Identifier

State Issuer Identifier Type Code
OR 136770 05

Other Provider/Organization Names

Other Name Type Code
Mercy Medical Center Home Health Service Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
2400 Nw Stewart Pkwy, Suite 200, Roseburg, OR 974715659 5416772458 5416771554

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215106133 Mercy Medical Center, Inc. Surgery 2700 Nw Stewart Parkway, Roseburg, OR 97471 2008-02-25
1649208802 Mercy Medical Center, Inc. Hospice Care, Community Based 2675 Nw Edenbower Blvd Ste 200, Roseburg, OR 97471-6201 2006-06-28
1841241270 Mercy Medical Center, Inc. Home Health 7568 Whipple Ave Nw, North Canton, OH 44720-6922 2006-05-12
1013450287 Mercy Medical Center, Inc. Surgery 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2016-11-21
1194155549 Mercy Medical Center, Inc. Clinic/Center 1320 Mercy Dr Nw, Canton, OH 44708-2614 2013-11-21
1306182332 Mercy Medical Center, Inc. General Acute Care Hospital 1031 W High Ave, New Philadelphia, OH 44663-2071 2012-12-19
1023362100 Mercy Medical Center, Inc. Clinic/Center 1459 Superior Ave Ne, Canton, OH 44705-1964 2012-10-29
1326282807 Mercy Medical Center, Inc. Clinical Medical Laboratory 1320 Mercy Dr Nw, Canton, OH 44708-2614 2009-04-28
1225231103 Mercy Medical Center, Inc. Prosthetic/Orthotic Supplier 1320 Mercy Dr Nw, Canton, OH 44708-2614 2007-06-07
1811038367 Mercy Medical Center, Inc. Psychiatric Unit 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 2007-02-09

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities MERCY MEDICAL CENTER, INC 301 Saint Paul Pl, Baltimore, MD 21202-2102
System for Award Management (SAM) Entities MERCY MEDICAL CENTER, INC. 1320 Mercy Dr Nw, Canton, OH 44708-2614
Oregon Corporations, Companies and Business Names MERCY MEDICAL CENTER, INC. 2700 Stewart Parkway, Roseburg, OR 97471

Office Location

Street Address 2675 NW EDENBOWER BLVD
City ROSEBURG
State OR
Zip Code 97471-6201

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841805660 Rae Ann Barnes Pharmacist 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 2020-09-09
1023651031 Colton Phillips Behavioral Analyst 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 2019-10-22
1952884876 Meredith Krugel Lcsw PC Clinic/Center 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 2018-09-07
1114456563 Philip Kaser Family, LLC Pharmacy 1175 W. Harvard Avenue, Roseburg, OR 97471 2017-06-08
1053854208 Icco LLC Clinic/Center 1740 Nw Goetz Street, Roseburg, OR 97471 2016-11-21
1770034589 Evie Jepsen Case Manager/Care Coordinator 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 2016-10-17
1932551256 Jonathan Schmidt Licensed Practical Nurse 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 2016-07-11
1932580586 Jeffrey Mark Wareham Case Manager/Care Coordinator 2700 Medical Loop, Annex B, Roseburg, OR 97471 2015-06-09
1558784215 Ginger Jean Thibedeau Massage Therapist 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 2014-01-30
1427303122 Karishma Parekh Internal Medicine 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 2012-07-18
Find all providers in zip 97471

Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033157649 Avalon Home Health LLC Home Health 847 Se Watson St, Roseburg, OR 97470-3926 2006-06-04
1891760328 Integricare, Inc. Home Health 500 Se Cass Ave, Suite 260, Roseburg, OR 97470-3103 2006-02-20
1679908628 History Makers, Inc. Home Health 220 Cinbar Dr, Roseburg, OR 97471-9385 2013-09-10
1093908725 Amedisys Oregon, L.L.C. Home Health 1820 Nw Mulholland Dr, Roseburg, OR 97470-1945 2007-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215548508 Helen Lacsina Greer Home Health 248 Elma Ave Se, Salem, OR 97317-5464 2020-08-11
1760092167 Charlotte Kreftmeyer Home Health 661 Skyhawk Dr, Ontario, OR 97914-3143 2020-07-31
1275156929 Amy Marie Mathis Home Health 1787 Easy St, Medford, OR 97504-5325 2020-05-28
1841810256 Destiny Robin Thomas Home Health 2544 Ne Clackamas St, Portland, OR 97232-1727 2020-04-26
1912533506 Lucas Home Care, LLC Home Health 230 Se 3rd St # 100, Bend, OR 97702-9949 2020-03-16
1700421682 Janelle S Foote Home Health 36540 Highway 140, Beatty, OR 97621-9706 2019-11-14
1972154441 For The People LLC Home Health 10700 Sw Beaverton Hillsdale Hwy Ste 4709, Beaverton, OR 97005-3019 2019-09-25
1093363426 Apex Health and Wellness Home Health 436 N Laurel St, Ashland, OR 97520-1113 2019-08-28
1962056341 Cascade Specialized Nursing, LLC. Home Health 20831 Se Firwood Rd, Sandy, OR 97055-9487 2019-07-24
1528620887 Chareese R Borland Home Health 2240 Nolan Ln, West Linn, OR 97068-4243 2019-07-07
Find all providers with the same taxonomy

Competitor

Search similar providers

City ROSEBURG
Zip Code 97471

Improve Information

Please comment or provide details below to improve the information on MERCY MEDICAL CENTER, INC..

Dataset Information

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.

Trending Searches