Grace and Mercy Health Center, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

R159033 Issued in MD

Legal business name

GRACE AND MERCY HEALTH CENTER, INC.

Practice address

2108 Emmorton Park Rd
101-103
Edgewood, MD 21040-1050

Phone

(410) 670-8045

NPI assigned

Nov 25, 2014

Last updated

May 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Eugenia Ogeh Caternor, CRNP

Title

Family Nurse Practitioner

Phone

(410) 670-8045

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1558768101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210170004",
            "telephone_number": "410-670-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 EMMORTON PARK RD",
            "address_2": "101-103",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210401050",
            "telephone_number": "410-670-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND MERCY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "CATERNOR",
        "authorized_official_first_name": "EUGENIA",
        "authorized_official_middle_name": "OGEH",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "410-670-8045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "R159033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Edgewood, MD
• Providers in Edgewood, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.