Healthcare Provider Details
I. General information
NPI: 1225054059
Provider Name (Legal Business Name): MERCY MED CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
743 JEFFERSON AVE
SCRANTON PA
18510-1635
US
IV. Provider business mailing address
743 JEFFERSON AVE
SCRANTON PA
18510-1635
US
V. Phone/Fax
- Phone: 570-348-7074
- Fax:
- Phone: 570-348-7074
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
STEVEN
FRANKO
Title or Position: CFO
Credential:
Phone: 570-714-5525