Provider Demographics
NPI:1508391442
Name:MERCED RESCUE MISSION
Entity Type:Organization
Organization Name:MERCED RESCUE MISSION
Other - Org Name:MERCED COUNTY RESCUE MISSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MDIV, DMIN,
Authorized Official - Phone:209-480-3899
Mailing Address - Street 1:PO BOX 3319
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95344-1319
Mailing Address - Country:US
Mailing Address - Phone:209-722-9269
Mailing Address - Fax:
Practice Address - Street 1:527 W 20TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-3715
Practice Address - Country:US
Practice Address - Phone:209-722-9269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-28
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)