Organization Active NPI

The Mercy Hospital, Inc

Doing business as Mercy Urgent Care

  • General Acute Care Hospital
  • Springfield, MA
National Provider Identifier
1942666136
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
THE MERCY HOSPITAL, INC
Doing business as
Mercy Urgent Care
Practice address
175 Carew Street
Springfield, MA 01104-9012
Phone
(413) 539-2499
Fax
(413) 539-2859
NPI assigned
Jan 5, 2016
Last updated
Jan 5, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
THE MERCY HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Mr. Kevin A Jourdain, ESQ
Title
Dir. Managed Care
Phone
(413) 539-2499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X MA Primary

Addresses

Primary practice location

175 Carew Street
Springfield, MA 01104-9012

Mailing address

P.O. Box 9012
175 Carew Street
Springfield, MA 01104-9012
Phone (413) 539-2499

Other identifiers 1

IdentifierTypeStateIssuer
1010085MedicaidMA

Other names 1

  • Mercy Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital Inc4 organizations share this tax ID, including this one
Part of
Mercy Hospital Inc

Other organizations with this tax ID 3

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

Locations

175 Carew St
Springfield, MA 01104
Phone (413) 452-6760

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1942666136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9012",
            "address_2": "175 CAREW STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011049012",
            "telephone_number": "413-539-2499",
            "fax_number": "413-539-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAREW STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011049012",
            "telephone_number": "413-539-2499",
            "fax_number": "413-539-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MERCY HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MERCY HOSPITAL, INC",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "JOURDAIN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIR. MANAGED CARE",
        "authorized_official_telephone_number": "413-539-2499",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010085",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.