Organization Active NPI

Mercy Hospital in Pittsburgh

  • Critical Access Hospital
  • Pittsburgh, PA
National Provider Identifier
1255455085
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
MD430396 Issued in PA
Legal business name
MERCY HOSPITAL IN PITTSBURGH
Practice address
1400 Locust St
Pittsburgh, PA 15219-5114
Phone
(412) 232-8080
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohn Kimball, M.D.
Title
Chair of Internal Medicine
Phone
(412) 232-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X MD430396 PA Primary

Addresses

Primary practice location

1400 Locust St
Pittsburgh, PA 15219-5114

Mailing address

1420 Centre Ave
Apt 1200
Pittsburgh, PA 15219-3537
Phone (718) 813-5182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255455085. Details of each certification follow.

Hospital certification: CCN 390283

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SELECT SPECIALTY HOSPITAL - PITTSBURGH
Certification status
Terminated Other: provider status change, Apr 30, 1998
Provider type (POS)
Hospital – Short-term
Participating since
Oct 30, 1997
Last certification
Oct 30, 1997
Beds
41
Ownership / control type
Private (for profit)
Facility address
1400 Locust Street,Suite Mpob 104
Pittsburgh, PA 15219

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hosital of PGH5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255455085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 CENTRE AVE",
            "address_2": "APT 1200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152193537",
            "telephone_number": "718-813-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195114",
            "telephone_number": "412-232-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL IN PITTSBURGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "MOHN",
        "authorized_official_title_or_position": "CHAIR OF INTERNAL MEDICINE",
        "authorized_official_telephone_number": "412-232-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "PA",
            "license": "MD430396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.