Organization Active NPI

Mount Carmel Health System

  • Urgent Care Clinic/Center
  • Grove City, OH
National Provider Identifier
1811975279
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MOUNT CARMEL HEALTH SYSTEM
Practice address
3000 Meadow Pond CT
Ste 200
Grove City, OH 43123-9827
Phone
(614) 871-7130
Fax
(614) 277-2690
NPI assigned
Jan 5, 2006
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Mr. Andrew Priday
Title
Chief Financial Officer
Phone
(614) 546-4146

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary
Durable Medical Equipment & Medical Supplies 332B00000X OH

Addresses

Primary practice location

3000 Meadow Pond CT
Ste 200
Grove City, OH 43123-9827

Mailing address

3100 Easton Square PL Ste 300
Columbus, OH 43219-6290
Phone (734) 343-3320

Other identifiers 2

IdentifierTypeStateIssuer
0099836MedicaidOH
5621580001OtherOHDME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120727000563 OH Part B Supplier - Clinic/Group Practice 6709793367 Receives reassigned benefits from 269 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westerville, OH; Grove City, OH; Dublin, OH; Columbus, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4300 Clime Rd
Ste 110
Columbus, OH 43228
Phone (614) 272-1100

6427 E Broad St
Columbus, OH 43213
Phone (614) 861-7001

3000 Meadow Pond Ct
Ste 200
Grove City, OH 43123
Phone (614) 871-7130

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1811975279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 EASTON SQUARE PL STE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196290",
            "telephone_number": "734-343-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MEADOW POND CT",
            "address_2": "STE 200",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239827",
            "telephone_number": "614-871-7130",
            "fax_number": "614-277-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "PRIDAY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "614-546-4146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099836",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5621580001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.