Provider Demographics
NPI:1205188679
Name:SISTERS OF MERCY URGENT CARE, INC.
Entity Type:Organization
Organization Name:SISTERS OF MERCY URGENT CARE, INC.
Other - Org Name:SISTERS OF MERCY URGENT CARE BREVARD/DME
Other - Org Type:Other Name
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 1:22 TRUST LN
Practice Address - Street 2:SUITE 101
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-4333
Practice Address - Country:US
Practice Address - Phone:828-883-2600
Practice Address - Fax:828-883-2614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5912781Medicaid
NC1047OtherMEDICARE