NPIMap

Organization Active NPI

Mercy Health - Fairfield Hospital LLC

Doing business as Mercy Health - Fairfield Hospital

  • General Acute Care Hospital
  • Fairfield, OH
National Provider Identifier
1467552471
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MERCY HEALTH - FAIRFIELD HOSPITAL LLC
Doing business as
Mercy Health - Fairfield Hospital
Mercy Health Fairfield Hospital
Mercy Hospital Fairfield
Practice address
3000 Mack Rd
Fairfield, OH 45014-5335
Phone
(513) 870-7000
NPI assigned
Sep 22, 2006
Last updated
May 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Kimberly Ralston
Title
VP Reimbursement
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

3000 Mack Rd
Fairfield, OH 45014-5335

Mailing address

PO Box 635760
Cincinnati, OH 45263-5760
Phone (513) 870-7000

Other identifiers 2

IdentifierTypeStateIssuer
1033OtherOHOHIO DEPT OF HEALTH
5887278MedicaidOH

Other names 3

  • Mercy Health - Fairfield Hospital Doing business as
  • Mercy Health Fairfield Hospital Doing business as
  • Mercy Hospital Fairfield Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other BLUEMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060224000200 OH Part A Provider - Hospital 8628084985 Practice locations: Fairfield, OH; West Chester, OH; Liberty Township, OH; Oxford, OH
O20091130000203 OH Part A Provider - Hospital 8628084985 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fairfield, OH

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1467552471. Details of each certification follow.

Hospital certification: CCN 360056

Legal name
MERCY HEALTH - FAIRFIELD HOSPITAL LLC
Doing business as
MERCY HEALTH - FAIRFIELD HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 9, 2014
Beds
271
Ownership / control type
Private (not for profit)
Organization structure
LLCNon-profit
Incorporated
Nov 7, 1903 in OH
Enrollment address
3000 Mack Rd
Fairfield, OH 45014-5335
Main/Primary Hospital Location
Hospital subgroups
Acute care, Rehabilitation unit

Hospital certification: CCN 36T056

Legal name
MERCY HEALTH - FAIRFIELD HOSPITAL LLC
Doing business as
MERCY HOSPITAL FAIRFIELD-REHABILITATION UNIT
Organization structure
LLCNon-profit
Incorporated
Nov 7, 1903 in OH
Enrollment address
3000 Mack Rd
Fairfield, OH 45014-5399
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Health - Fairfield HospitalCCN 360056 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mercy Hospital FairfieldCCN 36T056 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 2010

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Daniel Feldmann Individual Corporate DirectorBoard Member Jan 1, 2024
Mercy Health Cincinnati LLC Organization, Cincinnati, OH Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
Operational/Managerial Control Jul 1, 1966
Janice C Jones Individual Corporate DirectorBoard Member Jan 1, 2024
Michael Bezney Individual Corporate DirectorBoard Member Jan 1, 2024
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Justin R Krueger Individual Corporate OfficerPresident Jul 15, 2019
Corporate DirectorPresident Jul 15, 2019
W-2 Managing EmployeePresident Jul 15, 2019
Corporate DirectorBoard Member Jul 15, 2019
Alexander Garvey Individual Corporate DirectorBoard Member Jan 1, 2023
John Starcher Individual Operational/Managerial ControlCho Admin Feb 1, 2016
John Luellen Individual Corporate DirectorBoard Member Aug 15, 2025
Eric Thiemann Individual Corporate DirectorBoard Member Jan 1, 2022
Mark O Carter Individual Corporate DirectorBoard Member Jan 1, 2022
Suzanne M Kathman Individual Corporate DirectorBoard Member Jan 1, 2019
James J McGraw Individual Corporate DirectorBoard Member Jan 1, 2024
Edward Babbitt Individual Corporate DirectorBoard Member Feb 1, 2016
Kevin J Cochran Individual Corporate DirectorBoard Member Feb 1, 2018
Vincent a Dinapoli Individual Corporate DirectorBoard Member Feb 1, 2018
Kimberly M Ralston Individual W-2 Managing EmployeeVP Reimbursement Oct 7, 2017
W-2 Managing EmployeeVP Reimbursment Apr 7, 2005

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 97

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 97

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

Affiliated clinicians 644

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 644

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1467552471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635760",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635760",
            "telephone_number": "513-870-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MACK RD",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450145335",
            "telephone_number": "513-870-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH - FAIRFIELD HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPT OF HEALTH",
            "identifier": "1033",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5887278",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "BLUEMARK",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mercy Health - Fairfield Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health Fairfield Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Hospital Fairfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.