Organization
MERCY MEDICAL, A CORPORATION
Active
Other names
Mercy Medical SNF-Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KAY POLYS (CHIEF EXECUTIVE OFFICER)
(251) 621-4223
Entity
Organization
Contact information
Practice address
3712 DAUPHIN ST, MOBILE, AL 36608-1725
(251) 344-7126
Mailing address
PO BOX 1090, DAPHNE, AL 36526-1090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12631
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010347
BC SNF PROVIDER NUMBER
AL
01
—
012353
BC DSF SNF PROVIDER NUMBE
AL
01
—
9245
HEALTHSPRING PROVIDER NUM
AL
Enumeration date
04/19/2006
Last updated
07/13/2007
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