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Mercy Health Physicians Cincinnati Specialty Care, LLC

Organization Active NPI Durable Medical Equipment & Medical Supplies · Crestview Hills, KY

NPI 1558022350 · NPPES record last updated Jan 4, 2022

Key facts

NPI
1558022350
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
Legal business name
MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE, LLC
Practice address
328 Thomas More Pkwy
Crestview Hills, KY 41017-3488
Phone
(513) 347-9999
NPI assigned
Jan 4, 2022
Organization subpart
No

Authorized official

Name
Jospeh Hardy
Title
Cfo
Phone
(513) 869-5016

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 15

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

Practitioners 343

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 343

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220307000768 KY DME Supplier - Multi-Specialty - Physician 3971907759 Practice locations: Crestview Hills, KY

National Provider Directory

Tax ID family
Mercy Health Phys Care LLC (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Yes

Addresses

Primary practice location

328 Thomas More Pkwy
Crestview Hills, KY 41017-3488

Mailing address

1701 Mercy Health PL
Cincinnati, OH 45237-6147

Other providers in Crestview Hills, KY

All providers in Crestview Hills, KY · Durable Medical Equipment & Medical Supplies in Kentucky

Sources for this page

Verify at the official NPI Registry.