OrganizationActive
Mercy Physician Group Inc.
NPI 1104972983 · Adult Medicine Physician · Nampa, ID
Provider details
- NPI number
- 1104972983
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- B Checketts, Chief Financial Officer(208) 463-5531
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Interventional Cardiology Physician207RI0011X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Practice location
1512 12th Ave Rd
Nampa, ID 83686-6008
Phone: (208) 463-5000
Fax: (208) 463-5578
Approximate (ZIP-level) locationGet directions
Mailing address
1512 12th Ave Rd
Nampa, ID 83686-6008
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2008-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.