Organization
MERCY PHYSICIAN SERVICES, LLC
Active
Parent organization
MERCY HEALTH PARTNERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH PARTNERS, INC.
Authorized official
A. DAVID JIMENEZ (PRESIDENT AND CEO)
(865) 545-7558
Entity
Organization
Contact information
Practice address
200 BLOUNT AVENUE, SUITE 502, KNOXVILLE, TN 37920
(865) 549-4327
Mailing address
200 BLOUNT AVENUE, SUITE 502, KNOXVILLE, TN 37920
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515481
—
TN
Enumeration date
05/13/2009
Last updated
05/13/2010
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