MERCY PHYSICIAN GROUP INC. – NPI #1104972983
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

MERCY PHYSICIAN GROUP INC. is a provider located in NAMPA, ID. NPPES has assigned the NPI number 1104972983 to MERCY PHYSICIAN GROUP INC. on January 26, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 18 years ago on Apr 14, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERCY PHYSICIAN GROUP INC. below.

NPI Profile for
MERCY PHYSICIAN GROUP INC.

NPI Number
1104972983
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MERCY PHYSICIAN GROUP INC.
Primary location
1512 12TH AVE RD
NAMPA, ID 83686-6008
Phone: (208) 463-5000 Fax: (208) 463-5578
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
B CHECKETTS
CHIEF FINANCIAL OFFICER
Phone: (208) 463-5531
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.