1396143814 NPI number — MERCY HEALTH PHYSICIANS-NORTH LLC

Table of content: (NPI 1396143814)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396143814 NPI number — MERCY HEALTH PHYSICIANS-NORTH LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MERCY HEALTH PHYSICIANS-NORTH LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396143814
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1701 MERCY HEALTH PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45237-6147
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3030 W SYLVANIA AVE
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
TOLEDO
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43613-4100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-474-3338
Provider Business Practice Location Address Fax Number:
419-474-5193
Provider Enumeration Date:
12/16/2014

Additional Information

Authorized Official

Authorized Official Last Name:
DACRE
Authorized Official First Name:
OLIVIA
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO, MEDICAL GROUP
Authorized Official Telephone Number:
419-251-9650

Provider Taxonomy Codes

  • Taxonomy code: 332BC3200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2939806 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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