Provider Demographics
NPI:1992534945
Name:MERCY HOSPITAL PITTSBURG INC
Entity type:Organization
Organization Name:MERCY HOSPITAL PITTSBURG INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:JANSSENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-556-2459
Mailing Address - Street 1:2711 S ROUSE ST STE E
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:KS
Mailing Address - Zip Code:66762-6621
Mailing Address - Country:US
Mailing Address - Phone:620-235-0327
Mailing Address - Fax:
Practice Address - Street 1:2711 S ROUSE ST STE E
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-6621
Practice Address - Country:US
Practice Address - Phone:620-235-0327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies