NPIMap

Organization Active NPI

Mercy Health-St Ritas Medical Center LLC

Doing business as Delphos Ambulatory Care Center

  • Urgent Care Clinic/Center
  • Delphos, OH
National Provider Identifier
1487674297
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Doing business as
Delphos Ambulatory Care Center
Practice address
1800 E 5TH St
Delphos, OH 45833-9139
Phone
(419) 692-2662
Fax
(419) 996-5458
NPI assigned
Jul 21, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Mrs. Kimberly Ralston
Title
System
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1800 E 5TH St
Delphos, OH 45833-9139

Mailing address

PO Box 951999
Cleveland, OH 44193-0021
Phone (419) 692-2662

Other identifiers 1

IdentifierTypeStateIssuer
2412811MedicaidOH

Other names 1

  • Delphos Ambulatory Care Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0994573Delphos Ambulatory Care Center1800 East Fifth Street, Delphos, OH 45833AccreditationJul 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Allen County Emergency11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

1800 E 5th St
Delphos, OH 45833
Phone (419) 692-2662

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1487674297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951999",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930021",
            "telephone_number": "419-692-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E 5TH ST",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339139",
            "telephone_number": "419-692-2662",
            "fax_number": "419-996-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-ST RITAS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SYSTEM",
        "authorized_official_telephone_number": "419-996-5119",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2412811",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delphos Ambulatory Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delphos Ambulatory Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delphos, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.