NPIMap

Organization Active NPI

Community Mercy Health Partners

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, OH
National Provider Identifier
1790742831
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COMMUNITY MERCY HEALTH PARTNERS
Practice address
30 W McCreight Ave
Suite 204
Springfield, OH 45504-1842
Phone
(937) 390-5338
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

30 W McCreight Ave
Suite 204
Springfield, OH 45504-1842

Mailing address

30 W McCreight Ave
Suite 204
Springfield, OH 45504-1842
Phone (937) 390-5338

Other identifiers 1

IdentifierTypeStateIssuer
5887901MedicaidOH

Other names 1

  • Mercy REACH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy ER Physicians23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

30 W McCreight Ave
Ste 204
Springfield, OH 45504
Phone (937) 390-5338

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1790742831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE",
            "address_2": "SUITE 204",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041842",
            "telephone_number": "937-390-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MCCREIGHT AVE",
            "address_2": "SUITE 204",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455041842",
            "telephone_number": "937-390-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MERCY HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-06-21",
        "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": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5887901",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy REACH",
            "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 Jun 21, 2013; 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.