Healthcare Provider Details

I. General information

NPI: 1891783684
Provider Name (Legal Business Name): MERCY HOSPITAL SKILLED NURSING FACILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 LOCUST ST 7E
PITTSBURGH PA
15219-5114
US

IV. Provider business mailing address

1400 LOCUST ST 7E
PITTSBURGH PA
15219-5114
US

V. Phone/Fax

Practice location:
  • Phone: 412-232-5729
  • Fax: 412-232-8464
Mailing address:
  • Phone: 412-232-5729
  • Fax: 412-232-8464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number136102
License Number StatePA

VIII. Authorized Official

Name: MS. ELIZABETH A GRIBIK
Title or Position: NHA
Credential: RN, MSN NHA
Phone: 412-232-5729