Mercy Hospital Inc

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

4002 Issued in FL

Legal business name

MERCY HOSPITAL INC

Practice address

3663 South Miami Avenue
Miami, FL 33133

Phone

(305) 860-5239

Fax

(305) 860-4668

NPI assigned

Jan 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John E Matuska, CEO

Title

Chief Executive Officer

Phone

(305) 854-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801875810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 SOUTH MIAMI AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-860-5239",
            "fax_number": "305-860-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 SOUTH MIAMI AVENUE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-860-5239",
            "fax_number": "305-860-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATUSKA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "305-854-4400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "FL",
            "license": "4002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "229",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Hospital Inc
• Mercy Hospital Inc (Mercy Hospital Medical Group)
• Mercy Hospital Inc
• Mercy Hospital Inc
• Mercy Hospital Inc
• Mercy Hospital Sis
• Mercy Hospital, Inc.
• Mercy Hospital, Inc. (Mercy Professional Apothecary)
• Mercy Hospital, Inc.
• Mercy Hospital, Inc.

• Psychiatric Hospital Unit in Miami, FL
• Providers in Miami, FL by specialty
• Psychiatric Hospital Unit in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.