Mercy Hospital, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

H0042 Issued in NC

Legal business name

MERCY HOSPITAL, INC

Practice address

2001 Vail Avenue
CMC Mercy
Charlotte, NC 28207-1219

Phone

(704) 304-5248

Fax

(704) 304-5514

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Christopher T. Rich

Title

Director, Behavioral Health Develop

Phone

(704) 358-2719

Specialties & licenses 1

Addresses

Tax ID family

Mercy Hospital Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Mercy Hospital, Inc

  • General Practice Physician
  • Charlotte, NC
  • NPI 1275608242
  NPD tax ID
• Mercy Hospital, Inc

  • General Practice Physician
  • Charlotte, NC
  • NPI 1992870968
  NPD tax ID

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1487825170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BILLINGSLEY ROAD",
            "address_2": "BEHAVIORAL HEALTH CENTER CMC RANDO",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111009",
            "telephone_number": "704-358-2710",
            "fax_number": "704-358-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 VAIL AVENUE",
            "address_2": "CMC MERCY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071219",
            "telephone_number": "704-304-5248",
            "fax_number": "704-304-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DIRECTOR, BEHAVIORAL HEALTH DEVELOP",
        "authorized_official_telephone_number": "704-358-2719"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": "H0042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Care Inc.
• Mercy Hands Homecare Inc
• Mercy Health Services, Inc.
• Mercy Hospital Inc.
• Mercy Hospital, Inc
• Mercy Hospital, Inc
• Mercy Hospital, Inc
• Mercy Hospital, Inc
• Mercy Hospital, Inc.
• Mercy Hospital, Inc.

• Substance Use Disorder Rehabilitation Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.

Verify at the official NPI Registry.