Provider Demographics
NPI:1255455085
Name:MERCY HOSPITAL IN PITTSBURGH
Entity type:Organization
Organization Name:MERCY HOSPITAL IN PITTSBURGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIR OF INTERNAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMBALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-232-8080
Mailing Address - Street 1:1420 CENTRE AVE
Mailing Address - Street 2:APT 1200
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-3537
Mailing Address - Country:US
Mailing Address - Phone:718-813-5182
Mailing Address - Fax:
Practice Address - Street 1:1400 LOCUST ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5114
Practice Address - Country:US
Practice Address - Phone:412-232-8080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430396282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access