NPIMap

Organization Active NPI

Mercy Health-St Ritas Medical Center LLC

Doing business as Delphos Ambulatory Care Physician Services

  • Emergency Medicine Physician
  • Delphos, OH
National Provider Identifier
1881869899
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Doing business as
Delphos Ambulatory Care Physician Services
Practice address
1800 E 5TH St
Delphos, OH 45833-9180
Phone
(419) 996-5030
Fax
(419) 996-5458
NPI assigned
Apr 30, 2008
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1800 E 5TH St
Delphos, OH 45833-9180

Mailing address

PO Box 951999
Cleveland, OH 44193-0021
Phone (419) 996-5114

Other names 1

  • Delphos Ambulatory Care Physician Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Rita's Medical Cente11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1881869899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951999",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930021",
            "telephone_number": "419-996-5114",
            "fax_number": "419-996-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E 5TH ST",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339180",
            "telephone_number": "419-996-5030",
            "fax_number": "419-996-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-ST RITAS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delphos Ambulatory Care Physician Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Delphos Ambulatory Care Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delphos, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.