Mercy Medical Center, Inc.

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

MERCY MEDICAL CENTER, INC.

Doing business as

Mercy Medical Center Psychiatric Unit

Practice address

1320 Mercy Dr NW
Canton, OH 44708-2614

Phone

(330) 489-1000

NPI assigned

May 19, 2006

Last updated

May 22, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY MEDICAL CENTER, INC.As reported in NPPES

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

Authorized official

Name

Mr. David K Stewart, MBA

Title

Sr Vice Preschief Financial Officer

Phone

(330) 489-1131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Medical Center Psychiatric Unit Doing business as

Part of

Ambulatory Care Clinic

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1780637629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 MERCY DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082614",
            "telephone_number": "330-489-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MERCY DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082614",
            "telephone_number": "330-489-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY MEDICAL CENTER, INC.",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SR VICE PRESCHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-489-1131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0298771",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Center Psychiatric Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton Robert Merck
• Kasey Mercurio, CNP
• Mercy Dental Services
• Mercy Medical Center Home Health & Hospice LLC
• Mercy Medical Center Home Health & Hospice LLC
• Mercy Professional Care, LLC
• Mercy Professional Pharmacy
• Krista Karman Meredith, CNP
• Nicole D Meredith, CDCA
• Stephen Michael Meredith, CNP

• Psychiatric Hospital Unit in Canton, OH
• Providers in Canton, OH by specialty
• Psychiatric Hospital Unit in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.