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NPI Code Detail

MEDICARE: MOUNT CARMEL HEALTH SYSTEMS

MEDICARE: MOUNT CARMEL HEALTH SYSTEMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1043639685
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNT CARMEL HEALTH SYSTEMS
Provider Business Mailing Address
First Line : 477 COOPER RD STE 300
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-8057
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 477 COOPER RD STE 300
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-8057
Country : US
Telephone Number : 614-898-8714
Fax Number :
Authorized Official
Title or Position : PROGRAM ADMINISTRATOR
Name : DORAIN SMITH
Credential :
Telephone Number : 614-898-8714
Provider Enumeration Date : 04/10/2014
Last Update Date : 04/10/2014

Similar Medicare Providers

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1427011956 — KATHERINE THEWES MD
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1750589875 — DAVID DIONISIO D.O.
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Directions to “MOUNT CARMEL HEALTH SYSTEMS ” Practice Location

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