NPIMap

Organization Active NPI

Mercy Health Kings Mills Hospital LLC

Doing business as Mercy Health - Kings Mills Hospital

  • General Acute Care Hospital
  • Mason, OH
National Provider Identifier
1790469146
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MERCY HEALTH KINGS MILLS HOSPITAL LLC
Doing business as
Mercy Health - Kings Mills Hospital
Practice address
5440 Kings Island Drive
Mason, OH 45040
Phone
(513) 637-9999
NPI assigned
Jun 14, 2023
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Kimberly Ralston
Title
System Director Payor Admin
Phone
(419) 996-5119

Specialties & licenses 1

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

Addresses

Primary practice location

5440 Kings Island Drive
Mason, OH 45040

Mailing address

1701 Mercy Health PL
Cincinnati, OH 45237-6147

Other names 1

  • Mercy Health - Kings Mills Hospital 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 OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240110003047 OH Part A Provider - Hospital 6305297714 Practice locations: Mason, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790469146. Details of each certification follow.

Hospital certification: CCN 360374

Legal name
MERCY HEALTH KINGS MILLS HOSPITAL LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Mar 11, 2024
Last certification
Mar 11, 2024
Beds
60
Ownership / control type
Private (not for profit)
Organization structure
LLCNon-profit
Incorporated
Dec 13, 2023 in OH
Enrollment address
5440 Kings Island Dr
Mason, OH 45040-2796
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Health Kings Mills Hospital LLCCCN 360374 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
36D2289950Mercy Health-Kings Mills Laboratory5440 Kings Island Drive, Mason, OH 45040AccreditationOct 15, 2026

National Provider Directory

National Provider Directory

Member of 1

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

Locations

5214 Kings Mills Rd
Mason, OH 45040
Phone (513) 637-9080

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 Dec 13, 2023 100%
Janice C Jones Individual Corporate DirectorBoard Member Jan 1, 2024
Michael Bezney Individual Corporate DirectorBoard Member Jan 1, 2023
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Dec 13, 2023 100%
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
Michael Kramer Individual Corporate OfficerPresident MH Kings Mills Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025
W-2 Managing EmployeePresident MH Kings Mills Jan 1, 2025
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 Apr 20, 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 6

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.

Affiliated clinicians 185

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

View all 185

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1790469146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MERCY HEALTH PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 KINGS ISLAND DRIVE",
            "city": "MASON",
            "state": "OH",
            "postal_code": "45040",
            "telephone_number": "513-637-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH KINGS MILLS HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR PAYOR ADMIN",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 - Kings Mills Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health - Kings Mills Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.