Organization
MERCY MEDICAL, A CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NECIE BORRONI (CFO/EXECUTIVE DIRECTOR)
(251) 459-6454
Entity
Organization
Contact information
Practice address
374 GREENO RD S, FAIRHOPE, AL 36532-1916
(251) 621-4431
(251) 621-4896
Mailing address
PO BOX 1090, DAPHNE, AL 36526-1090
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11712
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017034
MEDICARE OSCAR NUMBER
AL
01
—
51041160
BCBS OF AL PROVIDER NUM
AL
01
—
51535174
BC BS OF AL PROVER NUMBER
AL
01
—
9245
HEALTHSPRING PROVIDER NUM
AL
05
—
MER7034A
—
AL
Enumeration date
04/17/2006
Last updated
06/26/2014
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