Active NPI
Mercy Physician Group, Inc.
- Durable Medical Equipment & Medical Supplies
- Nampa, ID
National Provider Identifier
1053582197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MERCY PHYSICIAN GROUP, INC.
- Practice address
- 214 S Midland Blvd
Nampa, ID 83686-2602 - Phone
- (208) 465-6900
- Fax
- (208) 465-6910
- NPI assigned
- Mar 17, 2008
- Last updated
- Mar 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise C McClure
- Title
- Executive Director
- Phone
- (208) 463-5549
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
214 S Midland Blvd
Nampa, ID 83686-2602
Mailing address
214 S Midland Blvd
Nampa, ID 83686-2602
Phone (208) 465-6900
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205712000000",
"number": "1053582197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 S MIDLAND BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836862602",
"telephone_number": "208-465-6900",
"fax_number": "208-465-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 S MIDLAND BLVD",
"city": "NAMPA",
"state": "ID",
"postal_code": "836862602",
"telephone_number": "208-465-6900",
"fax_number": "208-465-6910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY PHYSICIAN GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-17",
"last_updated": "2008-03-17",
"status": "A",
"authorized_official_last_name": "MCCLURE",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "208-463-5549"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.