Organization
MERCY MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUSTIN DEIBEL (CHIEF FINANCIAL OFFICER)
(410) 659-2905
Entity
Organization
Contact information
Practice address
301 SAINT PAUL PL, BALTIMORE, MD 21202-2102
(410) 951-1700
(410) 951-1719
Mailing address
PO BOX 829923, PHILADELPHIA, PA 19182-9923
(410) 951-1700
(410) 951-1719
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000095700
—
MD
01
—
573490-01
CAREFIRST BC/BS OF MD
MD
01
—
MB6
CAREFIRST - BLUE CHOICE
MD
Enumeration date
04/03/2006
Last updated
03/03/2025
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