NPIMap

Organization Active NPI

Mercy Expresscare

  • Community Health Clinic/Center
  • Fairfield, OH
National Provider Identifier
1053597203
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
MERCY EXPRESSCARE
Practice address
5440 Dixie Highway
Fairfield, OH 45014-4108
Phone
(513) 674-6000
NPI assigned
Jan 18, 2008
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Dennis Pettigrew
Title
Cfo
Phone
(513) 981-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

5440 Dixie Highway
Fairfield, OH 45014-4108

Mailing address

4600 McAuley Place
6TH Floor
Cincinnati, OH 45242-4733
Phone (513) 981-6251

National Provider Directory

National Provider Directory
Tax ID family
Mercy Express Care2 organizations share this tax ID, including this one
Part of
Mercy Express Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1053597203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MCAULEY PLACE",
            "address_2": "6TH FLOOR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424733",
            "telephone_number": "513-981-6251",
            "fax_number": "513-981-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 DIXIE HIGHWAY",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450144108",
            "telephone_number": "513-674-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY EXPRESSCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY FRANCISCAN MEDICAL MANAGEMENT SERVICES INC",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "PETTIGREW",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "513-981-6251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.