National Provider Identifier Database

MERCY MEDICAL LLC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

MERCY MEDICAL LLC
4633 QUITMAN HIGHWAY
HODGE, LA71247
Phone: 318-259-1100
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Community Health 261QC1500X

* Indicates primary specialty

NPI Profile & details for MERCY MEDICAL LLC

NPI Number 1063945434
Legal business name
LBN
MERCY MEDICAL LLC
Authorized official KIMBERLY BRUNSON - (CEO, NP)
Entity Organization
Organization subpart No
Enumeration date 04/04/2017
Last updated 06/26/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • LA Medicaid: 2468588

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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