Mercy Hospital, Inc

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

H0042 Issued in NC

Legal business name

MERCY HOSPITAL, INC

Practice address

10628 Park Rd
Charlotte, NC 28210-8407

Phone

(704) 543-2025

Fax

(704) 543-2010

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Anthony C Defurio

Title

Evp/Cfo

Phone

(704) 355-3304

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolinas HealthCare System Pineville Doing business as

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1821039975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32861",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282322861",
            "telephone_number": "704-512-6438",
            "fax_number": "704-512-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10628 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407",
            "telephone_number": "704-543-2025",
            "fax_number": "704-543-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "DEFURIO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EVP/CFO",
        "authorized_official_telephone_number": "704-355-3304",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NC",
            "license": "H0042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolinas HealthCare System Pineville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carolinas HealthCare System Pineville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Health Services, Inc.
• Mercy Hospital Inc.
• Mercy Hospital, Inc
• Mercy Hospital, Inc
• Mercy Hospital, Inc
• Mercy Hospital, Inc
• Mercy Hospital, Inc.
• Mercy Hospital, Inc.
• Mercy Hospital, Inc.
• Mercy Medical Clinic PA

• General Acute Care Hospital in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Acute Care Hospital in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.