Provider Demographics
NPI:1194204370
Name:SISTERS OF MERCY URGENT CARE, INC
Entity Type:Organization
Organization Name:SISTERS OF MERCY URGENT CARE, INC
Other - Org Name:MERCY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSSOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-281-4512
Mailing Address - Street 1:PO BOX 16367
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28816-0367
Mailing Address - Country:US
Mailing Address - Phone:828-252-8957
Mailing Address - Fax:828-255-8028
Practice Address - Street 1:1272 TUNNEL RD STE 10
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2100
Practice Address - Country:US
Practice Address - Phone:828-210-8325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SISTERS OF MERCY URGENT CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-09
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
2767OtherBCBS