Organization
MERCY HOSPITAL, INC
Active
Other names
CMC - Mercy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG GOMBAR (ADMINISTRATOR)
(704) 355-2154
Entity
Organization
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1219
(704) 379-5000
(704) 379-5695
Mailing address
PO BOX 32861, CHARLOTTE, NC 28232-2861
(704) 512-6438
(704) 512-6485
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H0042
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340098
—
NC
Enumeration date
05/31/2006
Last updated
04/18/2011
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