Healthcare Provider Details

I. General information

NPI: 1083466882
Provider Name (Legal Business Name): MERCY HOSPITAL PITTSBURG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2024
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MT CARMEL WAY
PITTSBURG KS
66762-7587
US

IV. Provider business mailing address

1 MT CARMEL WAY
PITTSBURG KS
66762-7587
US

V. Phone/Fax

Practice location:
  • Phone: 620-231-6100
  • Fax: 620-232-0493
Mailing address:
  • Phone: 620-231-6100
  • Fax: 620-232-0493

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MATHEW JANSSENS
Title or Position: CFO
Credential:
Phone: 417-781-2727