Organization
OUR LADY OF MERCY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHAEL G. DOWLING (DIRECTOR PROVIDER SERVICES)
(914) 377-4668
Entity
Organization
Contact information
Practice address
600 E 233RD ST, BRONX, NY 10466-2604
(718) 920-9000
(914) 709-0386
Mailing address
100 CORPORATE DR, CMO, YONKERS, NY 10701-6807
(914) 378-6163
(914) 709-0386
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000021
BLUE CROSS PROVIDER NUMBER
NY
01
—
000821
BLUE CROSS PROVIDER NUMBER
NY
05
—
00243563
—
NY
01
—
040403003073
FIDELIS PROVIDER NUMBER
NY
01
—
HO3109
OXFORD PROVIDER NUMBER
NY
01
—
HO3109A
OXFORD PROVIDER NUMBER
NY
Enumeration date
07/12/2005
Last updated
08/07/2008
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