MERCY MEDICAL CENTER, INC. (NPI# 1023362100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023362100 |
Entity Type | Organization |
Organization Name | MERCY MEDICAL CENTER, INC. |
Other Organization Name | ST. PAUL DENTAL SERVICE |
Practice Address |
1459 Superior Ave Ne Canton OH 44705-1964 |
Practice Telephone | 3305884893 |
Practice Fax Number | 3304532793 |
Mailing Telephone | 3305884893 |
Mailing Fax Number | 3304532793 |
Enumeration Date | 2012-10-29 |
Last Update Date | 2012-10-29 |
Authorized Official Name | MRS. LISA SHANNON (MANAGER) |
Authorized Official Telephone | 3304715962 |
Is Organization Subpart | Y |
Parent Organization Name | MERCY MEDICAL CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
St. Paul Dental Service | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215106133 | Mercy Medical Center, Inc. | Surgery | 2700 Nw Stewart Parkway, Roseburg, OR 97471 | 2008-02-25 |
1649208802 | Mercy Medical Center, Inc. | Hospice Care, Community Based | 2675 Nw Edenbower Blvd Ste 200, Roseburg, OR 97471-6201 | 2006-06-28 |
1609811181 | Mercy Medical Center, Inc. | Home Health | 2675 Nw Edenbower Blvd, Roseburg, OR 97471-6201 | 2006-06-18 |
1841241270 | Mercy Medical Center, Inc. | Home Health | 7568 Whipple Ave Nw, North Canton, OH 44720-6922 | 2006-05-12 |
1013450287 | Mercy Medical Center, Inc. | Surgery | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2016-11-21 |
1194155549 | Mercy Medical Center, Inc. | Clinic/Center | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2013-11-21 |
1306182332 | Mercy Medical Center, Inc. | General Acute Care Hospital | 1031 W High Ave, New Philadelphia, OH 44663-2071 | 2012-12-19 |
1326282807 | Mercy Medical Center, Inc. | Clinical Medical Laboratory | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2009-04-28 |
1225231103 | Mercy Medical Center, Inc. | Prosthetic/Orthotic Supplier | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2007-06-07 |
1811038367 | Mercy Medical Center, Inc. | Psychiatric Unit | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2007-02-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC | 301 Saint Paul Pl, Baltimore, MD 21202-2102 |
System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC. | 1320 Mercy Dr Nw, Canton, OH 44708-2614 |
Oregon Corporations, Companies and Business Names | MERCY MEDICAL CENTER, INC. | 2700 Stewart Parkway, Roseburg, OR 97471 |
Street Address |
1459 SUPERIOR AVE NE |
City | CANTON |
State | OH |
Zip Code | 44705-1964 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659376309 | Lamberto T Galang | Family Medicine | 1459 Superior Ave Ne, Canton, OH 44705-1964 | 2005-06-18 |
1841521564 | Kathleen A Lee-oles | Nurse Practitioner | 1459 Superior Ave Ne, Canton, OH 44705-1964 | 2010-01-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609395623 | Catherine Dana Tavares | Registered Nurse | 5321 Johnnycake Ridge Ne, Canton, OH 44705 | 2017-09-11 |
1790168706 | Vicki T Perrin | Home Health Aide | 3033 Endrow Ave Ne, Canton, OH 44705 | 2015-07-08 |
1679066542 | Atlantic Dme LLC | Durable Medical Equipment & Medical Supplies | 3501 Lesh St Ne, Canton, OH 44705 | 2018-06-14 |
1982262432 | Ciara A Davenport | Nurse's Aide | 809 Gibbs Ave Ne, Canton, OH 44705-1009 | 2019-05-30 |
1952790594 | Ivory Hollamon | Home Health Aide | 1209 Lippert Rd Ne, Canton, OH 44705-1019 | 2015-01-20 |
1003842196 | Lana May Butcher | Home Health Aide | 1219 Lippert Rd Ne, Canton, OH 44705-1019 | 2006-06-23 |
1124628896 | Asia Annette Everett | Home Health Aide | 918 Rowland Ave Ne, Canton, OH 44705-1064 | 2020-10-30 |
1396196267 | Pennie Lynn Mathewson | Student in an Organized Health Care Education/Training Program | 1309 Lawrence Rd Ne, Canton, OH 44705-1102 | 2016-06-22 |
1043861982 | Ravon L. Wise | Home Health Aide | 1130 12th St Ne, Canton, OH 44705-1120 | 2019-09-23 |
1518412360 | Angels In Mission | In Home Supportive Care | 1043 Rowland Ave Ne, Canton, OH 44705-1166 | 2016-08-22 |
Find all providers in zip 44705 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053958603 | Inspire Dentistry Pllc | Clinic/Center | 43050 Ford Rd Ste 190, Canton, MI 48187-3359 | 2019-12-03 |
1730647272 | Epic Smile Centers of Michigan Pllc | Clinic/Center | 45001 Ford Rd # 104-d, Canton, MI 48187-2907 | 2019-03-04 |
1437573748 | Dentistry At Hickory Flat PC | Clinic/Center | 6199 Hickory Flat Hwy Ste 130, Canton, GA 30115-7255 | 2014-02-06 |
1811161060 | David N. Kam, D.d.s., P.C. | Clinic/Center | 155 N Canton Center Rd, Canton, MI 48187-2901 | 2008-04-18 |
1801919287 | Oakland Family Dental Care, Plc | Clinic/Center | 7184 Meadowbrook Dr, Canton, MI 48187-3552 | 2007-04-09 |
1154929594 | Sean R O'brien | Clinic/Center | 1716 S Lilley Rd, Canton, MI 48188-1108 | 2020-10-16 |
1407462187 | Canton Ardent | Clinic/Center | 45650 Ford Rd, Canton, MI 48187-5432 | 2020-09-18 |
1073146726 | Forever Smiles Orthodontics Pllc | Clinic/Center | 4227 S Canton Center Rd, Canton, MI 48188-2448 | 2020-02-20 |
1609439728 | Joseph Gondoly Dds PC | Clinic/Center | 44356 Cherry Hill Rd, Canton, MI 48187-3274 | 2019-04-15 |
1831693019 | Munson Dental and Facial Aesthetics | Clinic/Center | 4811 Munson St Nw, Canton, OH 44718-3614 | 2018-03-21 |
Find all providers in CANTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.