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NPI Code Detail

MEDICARE: MERCY HEALTH - FAIRFIELD HOSPITAL LLC

MEDICARE: MERCY HEALTH - FAIRFIELD HOSPITAL LLC
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
13336C0002XClinic Pharmacy022469200OH

General Provider Information

NPI Number : 1104224278
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HEALTH - FAIRFIELD HOSPITAL LLC
Provider Business Mailing Address
First Line : PO BOX 639922
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-9922
Country : US
Telephone Number : 513-682-1877
Fax Number : 513-682-1879
Provider Business Practice Location Address
First Line : 3000 MACK RD
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-5335
Country : US
Telephone Number : 513-682-1877
Fax Number : 513-682-1879
Authorized Official
Title or Position : SYSTEM DIRECTOR
Name : KIMBERLY RALSTON
Credential :
Telephone Number : 419-996-5119
Provider Enumeration Date : 12/05/2014
Last Update Date : 05/30/2026

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Directions to “MERCY HEALTH - FAIRFIELD HOSPITAL LLC ” Practice Location

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