MERCY FAMILY HEALTHCARE INC NPI 1780039297

NPI Information

NPI: 1780039297
Provider Name: MERCY FAMILY HEALTHCARE, INC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
128 MITYLENE PARK DR.
MONTGOMERY, AL
ZIP 36117
Phone: (334) 239-7020
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MERCY FAMILY HEALTHCARE, INC is an adult health nurse practitioner in Montgomery, AL. MERCY FAMILY HEALTHCARE, INC NPI is 1780039297. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

128 MITYLENE PARK DR.
MONTGOMERY, AL
ZIP 36117-548
Phone: (334) 239-7020
Fax: (334) 239-7034

The provider's authorized official is Lilian Ifeoma Akwuba .
The authorized official title is President and has the following contact phone number (334) 239-7020.

The enumeration date for this NPI number is 5/3/2016 and was last updated on 11/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	1-103472	ALABAMA	Yes
2	363LF0000X	Nurse Practitioner	Family	1-103472	ALABAMA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	102I507589	MEDICARE UPIN	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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