Mercy Medical Center, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MERCY MEDICAL CENTER, INC.

Doing business as

Mercy Medical Center Hospice

Practice address

7568 Whipple Ave NW
North Canton, OH 44720-6922

Phone

(330) 649-4380

Fax

(330) 649-4399

NPI assigned

May 16, 2006

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 President & Cfo

Phone

(330) 489-1131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Medical Center Hospice Doing business as

Part of

Mercy Psychiatric Servi

Locations

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1790737245",
    "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": "7568 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447206922",
            "telephone_number": "330-649-4380",
            "fax_number": "330-649-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY MEDICAL CENTER, INC.",
        "enumeration_date": "2006-05-16",
        "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 PRESIDENT & CFO",
        "authorized_official_telephone_number": "330-489-1131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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 Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol M Mendiola, PT
• Ryan Matthew Mendoza, PHARM. D.
• Adam R Menzie
• Audra M Mercer, LPTA
• Matthew Mercer, C.R.N.A.
• Mercy Medical Center, Inc.
• Johnathan Merwin
• Erin Messerly, STNA
• Sandy Metz, OTR/L
• Howard Martin Metzger, MD

• Community Based Hospice Care Agency in North Canton, OH
• Providers in North Canton, OH by specialty
• Community Based Hospice Care Agency 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.