NPIMap

Organization Active NPI

Mercy Health - St Vincent Medical Center LLC

  • Children's Hospital
  • Toledo, OH
National Provider Identifier
1184629115
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's HospitalTaxonomy code 282NC2000X
License
35057799 Issued in OH
Legal business name
MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC
Practice address
2222 Cherry St
Ste 1100
Toledo, OH 43608-2682
Phone
(419) 251-8052
Fax
(419) 251-3878
NPI assigned
Jun 16, 2005
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mr. Richard Evens
Title
President
Phone
(419) 251-3592

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Hospital 282NC2000X 35057799 OH Primary

Addresses

Primary practice location

2222 Cherry St
Ste 1100
Toledo, OH 43608-2682

Mailing address

2222 Cherry St
Ste 1100
Toledo, OH 43608-2682
Phone (419) 251-8052

Other identifiers 1

IdentifierTypeStateIssuer
0803670MedicaidOH

Other names 1

  • Mercy Children's Hospital Other name

National Provider Directory

National Provider Directory
Tax ID family
Network Physicians Comp12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

2222 Cherry St
Ste 1100
Toledo, OH 43608
Phone (419) 251-8050

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1184629115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST",
            "address_2": "STE 1100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082682",
            "telephone_number": "419-251-8052",
            "fax_number": "419-251-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST",
            "address_2": "STE 1100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082682",
            "telephone_number": "419-251-8052",
            "fax_number": "419-251-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "EVENS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-251-3592",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "OH",
            "license": "35057799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0803670",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Children's Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mercy Children's Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.