Mercy Physician Group Inc. in Nampa - Sports Medicine
Mercy Physician Group Inc. - NPI 1104972983
Mercy Physician Group Inc. is a Sports Medicine in Nampa, Idaho. Mercy Physician Group Inc. practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Mercy Physician Group Inc. is 1104972983. The last update date is 2008-04-14.
Mercy Physician Group Inc.'s current location address is 1512 12th Ave Rd, Nampa, Idaho. You can contact this provider via phone number 2084635000 and fax number 2084635578. The mailing address for Mercy Physician Group Inc. is 1512 12th Ave Rd, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mercy Physician Group Inc. |
|---|---|
| Address | 1512 12th Ave Rd, Nampa, Idaho |
| Phone Number | 2084635000 |
| Fax Number | 2084635578 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Checketts Lannie B |
| Credentials | CFO |
| Telephone Number | 2084635531 |
NPI Number Detail
| NPI Number | 1104972983 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2008-04-14 |
Provider Mailing Address Detail
| Address | 1512 12th Ave Rd |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836866008 |
| Phone Number | 2084635000 |
| Fax Number | 2084635578 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
|
Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
|
Post Comment/ Review Below
What is the unique identifier code issued to Mercy Physician Group Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Mercy Physician Group Inc. has been assigned the NPI (National Provider Identifier) 1104972983. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Mercy Physician Group Inc.'s physical address?
The Mercy Physician Group Inc. is physically located at 1512 12Th Ave Rd, in the city of Nampa, ID, with the postal code 836866008.
What is Mercy Physician Group Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mercy Physician Group Inc.'s specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qs0010X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104972983 to Mercy Physician Group Inc.?
The Mercy Physician Group Inc. received its 1104972983 assignment from the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date were the Mercy Physician Group Inc.'s details last updated?
The information pertaining to the Mercy Physician Group Inc., including its address, specialty, and other details, was most recently updated on 2008-04-14.