Mercy Health - Willard Hospital LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MERCY HEALTH - WILLARD HOSPITAL LLC

Practice address

110 East Howard St
Willard, OH 44890-1611

Phone

(419) 694-5020

NPI assigned

Jul 27, 2006

Organization subpart

No

Name

Mr. Brian D Smith

Title

Evp

Phone

(419) 226-9117

• Sister of Mercy of Willard, Ohio Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2014.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1154345577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "4TH FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436241120",
            "telephone_number": "419-251-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAST HOWARD ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448901611",
            "telephone_number": "419-694-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH - WILLARD HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "419-226-9117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sister of Mercy of Willard, Ohio",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cassandra Marie Link, OTR/L
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• Mercy Health - Willard Hospital LLC
• Mercy Health - Willard Hospital LLC
• Mercy Health - Willard Hospital LLC
• Mercy Health - Willard Hospital LLC
• Mercy Health - Willard Hospital LLC

• All providers in Willard, OH
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.