Organization
MERCY MEDICAL CENTER, INC.
Active
Parent organization
MERCY MEDICAL CENTER, INC.
Other names
Mercy Medical Center Home Health Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEDICAL CENTER, INC.
Authorized official
KELLY C. MORGAN (CEO/PRESIDENT)
(541) 677-2466
Entity
Organization
Contact information
Practice address
2675 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6201
(541) 677-2384
(541) 677-2498
Mailing address
2675 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6201
(541) 677-2384
(541) 677-2498
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
141133
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136770
—
OR
Enumeration date
06/18/2006
Last updated
07/17/2019
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