Cmc - Pineville Crna

LBN: Mercy Hospital, Inc.
Cmc - Pineville Crna is an health care organization with primary practice located at 10628 Park Rd , Charlotte NC 28210-8407. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty. Mercy Hospital, Inc. can be contacted via phone (704) 543-2025, or through Gombar, Greg via phone (704) 355-2154.

Contact Information

Primary practice address
10628 Park Rd Charlotte NC 28210-8407
Phone: (704) 543-2025
Fax: (704) 543-2010
Website:
Map and Directions
Authorized official contact:
Name: Gombar, Greg
Phone: (704) 355-2154

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X

Profile Details

NPI number 1801961875
LBN Legal business name Mercy Hospital, Inc.
DBA Doing business as Cmc - Pineville Crna
Authorized official Gombar, Greg
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Apr 19th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801961875 NPPES
North Carolina MEDICAID 8000172

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