Mission Merced Incorporated

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

MISSION MERCED INCORPORATED

Practice address

900 N St
Merced, CA 95341-5951

Phone

(209) 722-9269

NPI assigned

Jan 20, 2021

Organization subpart

Yes

Parent organization

MERCED RESCUE MISSIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bruce Metcalf

Title

Executive Director

Phone

(209) 480-3899

Specialties & licenses 1

Addresses

Other names 1

• Mission Merced Doing business as

Electronic endpoints 2

Part of

Merced Rescue Mission

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1104416544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3319",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953441319",
            "telephone_number": "209-722-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953415951",
            "telephone_number": "209-722-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MERCED INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCED RESCUE MISSION",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-480-3899"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tadam@missionmerced.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "900 N St",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953415951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcarr@missionmerced.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 N St",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953415951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mission Merced",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mission Merced",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lodging Provider in Merced, CA
• Providers in Merced, CA by specialty
• Lodging Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.