Provider Demographics
NPI:1306406145
Name:MERCED HEALTH CARE INC.
Entity Type:Organization
Organization Name:MERCED HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-388-1002
Mailing Address - Street 1:1253 CATALINA DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-9515
Mailing Address - Country:US
Mailing Address - Phone:209-388-1002
Mailing Address - Fax:
Practice Address - Street 1:1253 CATALINA DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-9515
Practice Address - Country:US
Practice Address - Phone:209-388-1002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care