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Organization
MERCY PRIMARY CARE INC
Active
Organization
MERCY PRIMARY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY M LANG (COO)
(412) 232-7545
Entity
Organization
Contact information
Practice address
1400 LOCUST ST, PITTSBURGH, PA 15219-5114
(412) 937-8887
(412) 937-9221
Mailing address
680 ANDERSEN DRIVE, MED 3000 ATTN SCOTT MADDEN, PITTSBURGH, PA 15220-2759
(412) 937-8887
(412) 937-9221
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000176465
UNISON
PA
01
—
1551082
GATEWAY HEALTH PLANS
PA
05
—
15821240088
—
PA
01
—
1800680
HIGHMARK BSPA
PA
01
—
20047086
AMERIHEALTH MERCY
PA
01
—
422294
HEALTH AMERICA
PA
01
—
422297
HEALTH ASSURANCE
PA
01
—
498760
AETNA
PA
01
—
CC4486
RR MEDICARE
PA
Enumeration date
10/12/2006
Last updated
02/12/2008
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