Mercy Health Physicians North Specialty Care LLC

Organization Active NPI Customized Equipment (DME) · Oregon, OH

NPI 1942962386 · NPPES record last updated Oct 13, 2021

Key facts

NPI
1942962386
Entity type
Organization (NPI type 2)
Primary specialty
Customized Equipment (DME) 332BC3200X
Legal business name
MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC
Practice address
1050 Isaac Streets Dr Ste 122
Oregon, OH 43616-3243
Phone
(419) 693-4171
Fax
(419) 693-6863
NPI assigned
Oct 13, 2021
Organization subpart
No

Authorized official

Name
Wilbur Gay
Title
Cfo
Phone
(864) 605-3762

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 1

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

Practitioners 345

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

View all 345

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20220127000892 OH DME Supplier - Multi-Specialty - Physician 1951707884 Practice locations: Oregon, OH

National Provider Directory

Tax ID family
Mercy Health Physicians North Specialty Care LLC (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Yes

Addresses

Primary practice location

1050 Isaac Streets Dr Ste 122
Oregon, OH 43616-3243

Mailing address

PO Box 631336
Cincinnati, OH 45263-1336
Phone (888) 696-3541

Other providers in Oregon, OH

All providers in Oregon, OH · Customized Equipment (DME) in Ohio

Sources for this page

Verify at the official NPI Registry.