Organization Active NPI

Community Mercy Health Partners

Doing business as Mercy St. Johns Center

  • Skilled Nursing Facility
  • Springfield, OH
National Provider Identifier
1679530489
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
COMMUNITY MERCY HEALTH PARTNERS
Doing business as
Mercy St. Johns Center
Practice address
100 W McCreight Ave
Springfield, OH 45504-1815
Phone
(937) 399-9910
NPI assigned
Apr 26, 2006
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMUNITY MERCY HEALTH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Mr. Paul C Hiltz
Title
President & Ceo
Phone
(937) 523-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

100 W McCreight Ave
Springfield, OH 45504-1815

Mailing address

100 W McCreight Ave
Springfield, OH 45504-1815
Phone (937) 399-9910

Other identifiers 1

IdentifierTypeStateIssuer
0315528MedicaidOH

Other names 1

  • Mercy St. Johns Center Doing business as

National Provider Directory

National Provider Directory
Part of
Mercy ER Physicians

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1679530489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MCCREIGHT AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041815",
            "telephone_number": "937-399-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MCCREIGHT AVE",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041815",
            "telephone_number": "937-399-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MERCY HEALTH PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY MERCY HEALTH PARTNERS",
        "enumeration_date": "2006-04-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "HILTZ",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "937-523-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315528",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy St. Johns Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy St. Johns Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.