MEDICARE: MERCY HEALTH - TIFFIN 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
1	275N00000X	Medicare Defined Swing Bed Hospital Unit		OH
2	282N00000X	General Acute Care Hospital

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316994734
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTH - TIFFIN HOSPITAL LLC

Provider Business Mailing Address
First Line	:	PO BOX 639922
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-9922
Country	:	US
Telephone Number	:	419-455-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	45 ST LAWRENCE DR
Second Line	:
City	:	TIFFIN
State	:	OH
Zip	:	44883-8310
Country	:	US
Telephone Number	:	419-455-7000
Fax Number	:

Authorized Official
Title or Position	:	SYSTEM DIRECTOR
Name	:	KIMBERLY RALSTON
Credential	:
Telephone Number	:	419-996-5119

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	02/05/2026

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