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Contact Information

MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE
199 PRATT ST
WATERTOWN, NY13601-4349
 Phone: 315-782-0415
 Fax: 315-786-0417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Assisted Living, Behavioral Disturbances

3104A0630X
 

Primary Care

261QP2300X
 

Renal Dialysis

2472R0900X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE

NPI Number 1710965124
LBN Legal business name MERCY HOSPITAL OF WATERTOWN UNITED STATES CATHOLIC CONFERENCE
Authorized official TERRI BRAY - (DPS/ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2006
Last updated 10/02/2013 - About 13 years ago
Identifiers
NY Medicaid 01226553
Other P014001500 BC ROCHESTER
Other 113538582 COMM
Other 113538582 COMM INS
Other 113538582 TRICARE
Other 337254 TRICARE
NY Other C52892A 1ST UNITED AMERICAN
NY Other 344246 GHI VALUE OPTIONS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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