Organization Active NPI

Mercy Health - West Hospital LLC

Doing business as Mercy Health - West Hospital

  • Clinical Medical Laboratory
  • Cincinnati, OH
National Provider Identifier
1982728036
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MERCY HEALTH - WEST HOSPITAL LLC
Doing business as
Mercy Health - West Hospital
Practice address
3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone
(513) 215-5000
Fax
(513) 215-0962
NPI assigned
Mar 16, 2007
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103

Mailing address

PO Box 632241
Cincinnati, OH 45263-2241
Phone (513) 215-5000

Other identifiers 2

IdentifierTypeStateIssuer
1026OtherOHOHIO DEPT OF HEALTH
0171362MedicaidOH

Other names 1

  • Mercy Health - West Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other BLUEMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060224000015 OH Part A Provider - Hospital 3173582384 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cincinnati, OH; Harrison, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982728036. Details of each certification follow.

Hospital certification: CCN 360234

Legal name
MERCY HEALTH - WEST HOSPITAL, LLC
Doing business as
MERCY HEALTH - WEST HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
May 1, 1971
Last certification
Jun 18, 2010
Beds
297
Ownership / control type
Private (not for profit)
Organization structure
LLCNon-profit
Incorporated
Feb 6, 1984 in OH
Enrollment address
3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Main/Primary Hospital Location
Hospital subgroups
Acute care, Rehabilitation

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Health - West HospitalCCN 360234 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0347539Mercy Health - West Hospital3300 Mercy Health Blvd, Cincinnati, OH 45211AccreditationFeb 8, 2027
36D2064712Mercy Health West Hospital3300 Mercy Health Blvd, Pharmacy Dept, Cincinnati, OH 45211Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Plaza6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Daniel Feldmann Individual Corporate DirectorBoard Member Jan 1, 2024
Mercy Health Cincinnati LLC Organization, Cincinnati, OH Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1984 100%
Janice C Jones Individual Corporate DirectorBoard Member Jan 1, 2024
Michael Bezney Individual Corporate DirectorBoard Member Jan 1, 2024
Bon Secours Mercy Health Inc Organization, Cincinnati, OH Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Alexander Garvey Individual Corporate DirectorBoard Member Jan 1, 2023
John Starcher Individual Operational/Managerial ControlCho Admin Jan 1, 2016
John Luellen Individual Corporate DirectorBoard Member Aug 15, 2025
Jason Asic Individual Corporate OfficerPresident MH West Jan 1, 2025
Corporate DirectorBoard Member Jan 1, 2025
W-2 Managing EmployeePresident MH West Jan 1, 2025
Eric Thiemann Individual Corporate DirectorBoard Member Jan 1, 2022
Mark O Carter Individual Corporate DirectorBoard Member Jan 1, 2022
Suzanne M Kathman Individual Corporate DirectorBoard Member Jan 1, 2019
James J McGraw Individual Corporate DirectorBoard Member Jan 1, 2024
Edward Babbitt Individual Corporate DirectorBoard Member Jan 1, 2016
Kevin J Cochran Individual Corporate DirectorBoard Member Feb 1, 2018
Vincent a Dinapoli Individual Corporate DirectorBoard Member Feb 1, 2018
Kimberly M Ralston Individual W-2 Managing EmployeeVP Reimbursement Apr 7, 2005

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1,003

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

View all 1,003

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1982728036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632241",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632241",
            "telephone_number": "513-215-5000",
            "fax_number": "513-215-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MERCY HEALTH BLVD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452111103",
            "telephone_number": "513-215-5000",
            "fax_number": "513-215-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH - WEST HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "419-996-5119"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPT OF HEALTH",
            "identifier": "1026",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0171362",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "BLUEMARK",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mercy Health - West Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Health - West Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.