Mercy Medical Health Center

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MERCY MEDICAL HEALTH CENTER

Doing business as

Mercy Medicine of Gulf Shores

Practice address

3849 Gulf Shores Pkwy Ste 8
Gulf Shores, AL 36542-2857

Phone

(318) 475-3500

Fax

(318) 475-3502

NPI assigned

Jun 8, 2021

Last updated

Jun 8, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY MEDICAL HEALTH CENTERAs reported in NPPES

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

Authorized official

Name

Kimberly G. Brunson, APRN

Title

Ceo

Phone

(318) 237-3879

Specialties & licenses 1

Addresses

Other names 1

• Mercy Medicine of Gulf Shores Doing business as

Tax ID family

Mercy Medical LLC6 organizations share this tax ID, including this one

Part of

Mercy Medical LLC

Other organizations with this tax ID 5

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

• Mercy Medical Health Center of Gulf Shores

  • Clinic/Center
  • Gulf Shores, AL
  • NPI 1447827431
  NPD tax ID
• Mercy Medical Health Center

  • Federally Qualified Health Center (FQHC)
  • Jonesboro, LA
  • NPI 1063945434
  NPD tax ID
• Mercy Medical Health Center

  dba Mercy Medical Health Center of Arcadia

  • Federally Qualified Health Center (FQHC)
  • Arcadia, LA
  • NPI 1184453748
  NPD tax ID
• Mercy Medical Health Center

  dba Mercy Dental

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1346907086
  NPD tax ID
• Mercy Medical Health Center

  dba Mercy Medicine of Arcadia

  • Clinic Pharmacy
  • Arcadia, LA
  • NPI 1730918277
  NPD tax ID

Locations

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1699342774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "HODGE",
            "state": "LA",
            "postal_code": "712470070",
            "telephone_number": "318-475-3500",
            "fax_number": "318-475-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3849 GULF SHORES PKWY STE 8",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422857",
            "telephone_number": "318-475-3500",
            "fax_number": "318-475-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY MEDICAL HEALTH CENTER",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "BRUNSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-237-3879",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medicine of Gulf Shores",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lynn McBride
• Ed Gaylon McCollough, M.D.
• Lindsey McCormick, D.O.
• Maranda Fleming McCoy, CRNP
• Hilary McQueen, ALC, MA
• Mercy Medical Health Center of Gulf Shores
• Mercy Medical Health Center of Gulf Shores
• Michael D Williams, DO L.L.C
• Courtney Millenbine, CRNP
• Billy Franklin Morales

• Pharmacy in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.