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NPI Code Detail

MEDICARE: MERCY MEDICAL CENTER

MEDICARE: MERCY MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterH0061347MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558783548
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY MEDICAL CENTER
Provider Business Mailing Address
First Line : 1421 S CATON AVE
Second Line : SUITE 203
City : BALTIMORE
State : MD
Zip : 21227-1025
Country : US
Telephone Number : 410-368-1370
Fax Number :
Provider Business Practice Location Address
First Line : 1421 S CATON AVE
Second Line : SUITE 203
City : BALTIMORE
State : MD
Zip : 21227-1025
Country : US
Telephone Number : 410-368-1370
Fax Number :
Authorized Official
Title or Position : OPERATIONS MANAGER
Name : MS. KATE GARNET
Credential :
Telephone Number : 410-332-9808
Provider Enumeration Date : 01/10/2014
Last Update Date : 01/10/2014

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Directions to “MERCY MEDICAL CENTER ” Practice Location

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