Provider Demographics
NPI:1891783684
Name:MERCY HOSPITAL SKILLED NURSING FACILITY
Entity Type:Organization
Organization Name:MERCY HOSPITAL SKILLED NURSING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NHA
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:GRIBIK
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN NHA
Authorized Official - Phone:412-232-5729
Mailing Address - Street 1:1400 LOCUST ST
Mailing Address - Street 2:7E
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5114
Mailing Address - Country:US
Mailing Address - Phone:412-232-5729
Mailing Address - Fax:412-232-8464
Practice Address - Street 1:1400 LOCUST ST
Practice Address - Street 2:7E
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5114
Practice Address - Country:US
Practice Address - Phone:412-232-5729
Practice Address - Fax:412-232-8464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA136102314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility