NPIMap

Organization Active NPI

Mercy Health-Allen Hospital LLC

Doing business as Mercy Health Allen Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Oberlin, OH
National Provider Identifier
1851464721
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MERCY HEALTH-ALLEN HOSPITAL LLC
Doing business as
Mercy Health Allen Hospital
Practice address
200 W Lorain St
Oberlin, OH 44074-1026
Phone
(440) 969-3983
Fax
(440) 960-3359
NPI assigned
Nov 16, 2006
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH LORAIN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Kimberly M Ralston
Title
VP Reimbursement
Phone
(419) 996-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

200 W Lorain St
Oberlin, OH 44074-1026

Mailing address

PO Box 636569
Cincinnati, OH 45263-6569
Phone (440) 960-3983

Other names 1

  • Mercy Health Allen Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000547 OH Part A Provider - Critical Access Hospital 5092802389 Practice locations: Oberlin, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851464721. Details of each certification follow.

Hospital certification: CCN 36Z306

Legal name
MERCY HEALTH-ALLEN HOSPITAL LLC
Doing business as
MERCY HEALTH - ALLEN HOSPITAL
Organization structure
LLCNon-profit
Incorporated
Jun 24, 1959 in OH
Enrollment address
200 W Lorain St
Oberlin, OH 44074-1026
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health-Allen Hospital LLC2 organizations share this tax ID, including this one
Part of
Community Health Partners Regional Health System

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Parris Smith Individual Corporate DirectorBoard Member Jan 1, 2022
Robert L Thomas Individual Corporate DirectorBoard Member Jan 1, 2022
Michelle Crawford Individual Corporate DirectorBoard Member Jan 3, 2022
Barbara Thomas Individual Corporate DirectorBoard Member Feb 22, 2018
Kathleen Kern Individual Corporate DirectorBoard Member Jan 1, 2025
Darin Wiswell Individual Corporate DirectorBoard Member Jan 1, 2025
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Alexander Garvey Individual Corporate DirectorBoard Member Jan 1, 2025
John Starcher Individual Operational/Managerial ControlCho Admin Feb 16, 2016
Darryl Tucker Individual Corporate DirectorBoard Member Feb 22, 2018
John Luellen Individual Corporate DirectorBoard Member Jan 1, 2022
Cindy Andrews Individual Corporate DirectorBoard Member Feb 1, 2017
Victor Leandry Individual Corporate DirectorBoard Member Feb 1, 2017
Tracy Green Individual Corporate DirectorBoard Member Feb 1, 2017
Cynthia L Dennison Individual Corporate OfficerCfo May 24, 2019
Corporate DirectorCfo May 24, 2019
W-2 Managing EmployeeHospital Chief Financial Officer May 24, 2019
Randall Fortin Individual Corporate DirectorBoard Member Mar 22, 2011
Richard B White Individual Corporate DirectorBoard Member Jan 1, 2022
Kimberly M Ralston Individual W-2 Managing EmployeeVP Reimbursement Oct 7, 2017
Mercy Health Lorain LLC Organization, Lorain, OH Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2001 100%
Operational/Managerial Control Sep 1, 2001

Owners & managing parties with NPI records 2

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

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1851464721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636569",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636569",
            "telephone_number": "440-960-3983",
            "fax_number": "440-960-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W LORAIN ST",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440741026",
            "telephone_number": "440-969-3983",
            "fax_number": "440-960-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-ALLEN HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH LORAIN LLC",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Health Allen Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oberlin, OH

Sources for this page

Verify at the official NPI Registry.