MERCY HEALTHCARE, INC


Address: 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281
Phone: 5416730611

MERCY HEALTHCARE, INC (NPI# 1790766822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790766822
Entity Type Organization
Organization Name MERCY HEALTHCARE, INC
Practice Address 2700 Nw Stewart Pkwy
Roseburg
OR 97470-1281
Practice Telephone 5416730611
Practice Fax Number 5416774533
Mailing Telephone 5416730611
Mailing Fax Number 5416774533
Enumeration Date 2005-11-07
Last Update Date 2020-08-22
Authorized Official Name SUSAN E ARMSTRONG (DIRECTOR PFS)
Authorized Official Telephone 5416774812
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 282N00000X General Acute Care Hospital 141133 OR Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
OR 123109 05
OR BLUE CROSS 1380027 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093197824 Mercy Healthcare, Inc Internal Medicine 945 Linsley Way, Stone Mountain, GA 30087-6083 2015-06-29

Office Location

Street Address 2700 NW STEWART PKWY
City ROSEBURG
State OR
Zip Code 97470-1281

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902412505 Lisa Mai Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 2020-09-18
1609480359 Jacob Watters Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2020-09-01
1245843143 Marcus Lee David Sickelton Student in an Organized Health Care Education/Training Program 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1214 2020-08-28
1053978403 Shelli Cross Registered Nurse 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2019-05-21
1225695711 Christa Lynne Creech Pharmacist 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2019-05-21
1366007510 Nikki Jean Whiting Nurse Practitioner 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2019-05-03
1629554811 Gary Sorcher Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2018-07-11
1548756158 Timothy Lawrence Garvey Jr. Physician Assistant 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2018-07-06
1437645223 Kimberly Ann Romano Registered Nurse 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2018-07-05
1912490582 Colin Fahey Pharmacist 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2018-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326547134 Thoughtwork, LLC Social Worker 178 Nw Garden Valley Blvd, Roseburg, OR 97470 2018-02-07
1063932960 Go Mo, LLC Durable Medical Equipment & Medical Supplies 627 Se Jackson St, Roseburg, OR 97470 2017-06-21
1497123335 Brandi N Hamilton Counselor 215 S.e. Jackson, Roseburg, OR 97470 2015-09-09
1285031203 Aric Fromdahl Counselor 215 Se Jackson, Roseburg, OR 97470 2014-11-20
1801292438 Robin Knebel Counselor 215 Se Jackson St., Roseburg, OR 97470 2014-11-10
1700282415 Samantha Marie Shelley Counselor 215 Se Jackson Street, Roseburg, OR 97470 2014-11-06
1043610660 Cynthia Simmons Counselor 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 2014-09-02
1083025431 Toni Damewood Msn Pmhnp-bc Nurse Practitioner 770 Se Kane Street, Roseburg, OR 97470 2014-05-19
1801226196 Denise Ingeman Registered Nurse 1548 South East Pine Street, Roseburg, OR 97470 2013-11-22
1356606909 Carla Junette Rambel Massage Therapist 566 S.e. Jackson, Roseburg, OR 97470 2012-07-10
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Taxonomy Information

Taxonomy Code 282N00000X
Grouping Hospitals
Classification General Acute Care Hospital

Taxonomy Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023306800 Mercy Medical Center General Acute Care Hospital 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2011-07-14
1699787655 Mical Thomas Dutson General Acute Care Hospital 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 2006-08-11
1477590198 Mercy Medical Center, Inc. General Acute Care Hospital 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 2006-06-01
1174572549 Roseburg Vamc General Acute Care Hospital 913 Nw Garden Valley Blvd, Roseburg, OR 97471-6523 2006-05-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447665526 Linda Damaskos General Acute Care Hospital 310 Nw Upyown Terrace, 2a, Portland, OR 97210 2014-06-26
1003246174 Rebecca Changizian General Acute Care Hospital 2929 Ne 25th Ave, Portland, OR 97212-3460 2013-11-26
1023440435 Providence Health & Services - Oregon General Acute Care Hospital 11445 Se Moon Dust Ct, Happy Valley, OR 97086-8033 2013-08-08
1235483199 Kaiser Sunnyside Medical Center General Acute Care Hospital 3480 Mock Orange Ct S, Salem, OR 97302-3647 2012-10-30
1891048807 Kaiser Foundation Hospitals General Acute Care Hospital 2875 Nw Stucki Ave., Hillsboro, OR 97124-5806 2012-10-16
1710241922 Silverton Hospital General Acute Care Hospital 700 Sw Lupine Ct, Sublimity, OR 97385-9509 2012-07-02
1215213756 Northwest Association of Surgical Assistants, Inc. General Acute Care Hospital 3782 Po Box, Springfield, OR 97475 2011-10-28
1194024760 Lisa Marie Arbuckle General Acute Care Hospital 16105 Sw 108th Ave, Apt. 212, Tigard, OR 97224-4870 2011-03-22
1679879662 Veterans Hospital General Acute Care Hospital 3710 S.w. U.S. Veterans Road, Portland, OR 97239-2964 2011-02-08
1083866933 Providence St Vincent Hospital General Acute Care Hospital 1235 Ne 47th Ave, Suite 285, Portland, OR 97213-2100 2008-10-22
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Competitor

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City ROSEBURG
Zip Code 97470

Improve Information

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Dataset Information

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.

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