Organization Active NPI

Mercy Medical Center

  • Clinic/Center
  • Baltimore, MD
National Provider Identifier
1558783548
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
H0061347 Issued in MD
Legal business name
MERCY MEDICAL CENTER
Practice address
1421 S Caton Ave
Suite 203
Baltimore, MD 21227-1025
Phone
(410) 368-1370
NPI assigned
Jan 10, 2014
Last updated
Jan 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Authorized official

Name
Ms. Kate Garnet
Title
Operations Manager
Phone
(410) 332-9808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X H0061347 MD Primary

Addresses

Primary practice location

1421 S Caton Ave
Suite 203
Baltimore, MD 21227-1025

Mailing address

1421 S Caton Ave
Suite 203
Baltimore, MD 21227-1025
Phone (410) 368-1370

Other identifiers 1

IdentifierTypeStateIssuer
407937000MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Business Health Services11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1421 S Caton Ave
Fl 203
Baltimore, MD 21227
Phone (410) 368-1370

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389312000000",
    "number": "1558783548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S CATON AVE",
            "address_2": "SUITE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271025",
            "telephone_number": "410-368-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S CATON AVE",
            "address_2": "SUITE 203",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271025",
            "telephone_number": "410-368-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-10",
        "status": "A",
        "authorized_official_last_name": "GARNET",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "410-332-9808",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "H0061347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407937000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.