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Mercy Health-St Ritas Medical Center LLC

Organization Active NPI Emergency Medical Services (Emergency Medicine) Physician · Lima, OH

NPI 1144495151 · NPPES record last updated Jan 13, 2022

Key facts

NPI
1144495151
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X
Legal business name
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Practice address
2195 Allentown Rd
Lima, OH 45805-1705
Phone
(419) 227-2245
Fax
(419) 229-1573
NPI assigned
Apr 30, 2008
Organization subpart
No

Authorized official

Name
Mr. Brian Smith
Title
Executive Vice President
Phone
(419) 226-9502

Corporate family (same tax ID) 10

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

National Provider Directory

Tax ID family
Med Care Physicians (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207PE0004X Yes

Addresses

Primary practice location

2195 Allentown Rd
Lima, OH 45805-1705

Mailing address

PO Box 951999
Cleveland, OH 44193-0021
Phone (419) 996-5114

Other identifiers

IdentifierTypeStateIssuer
7649503MedicaidOH

Other names

  • DBA WestSide-Luke Urgent Care Doing business as

Other providers in Lima, OH

All providers in Lima, OH · Emergency Medical Services (Emergency Medicine) Physician in Ohio

Sources for this page

Verify at the official NPI Registry.