Provider Demographics
NPI:1295064467
Name:MERCY HEALTHCARE
Entity type:Organization
Organization Name:MERCY HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOTFI
Authorized Official - Middle Name:
Authorized Official - Last Name:HADAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-475-1948
Mailing Address - Street 1:6140 E COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-9133
Mailing Address - Country:US
Mailing Address - Phone:812-475-1948
Mailing Address - Fax:812-401-1267
Practice Address - Street 1:4411 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714-0890
Practice Address - Country:US
Practice Address - Phone:812-475-1948
Practice Address - Fax:812-401-1267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based