=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366336299
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SISTERS OF MERCY URGENT CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/05/2025
-----------------------------------------------------
Last Update Date | 12/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 321 WATAUGA VILLAGE DR SUITE C
-----------------------------------------------------
City | BOONE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-398-3573
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 36765
-----------------------------------------------------
City | BELFAST
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04915-1209
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-252-8957
-----------------------------------------------------
Fax | 828-255-8028
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | RACHEL SOSSOMAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 828-252-8957
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------