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NPI Code Detail

MEDICARE: MERCY HEALTH - WEST HOSPITAL LLC

MEDICARE: MERCY HEALTH - WEST 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
1261QE0002XEmergency Care Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
210E0514609OTHERRADIOLOGY
336D0345018OTHERCLIA

General Provider Information

NPI Number : 1366532301
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HEALTH - WEST HOSPITAL LLC
Provider Business Mailing Address
First Line : 4600 MCAULEY PL
Second Line : 5TH FLOOR - FINANCE
City : CINCINNATI
State : OH
Zip : 45242-4733
Country : US
Telephone Number : 513-981-6696
Fax Number : 513-981-6117
Provider Business Practice Location Address
First Line : 10450 NEW HAVEN RD
Second Line :
City : HARRISON
State : OH
Zip : 45030-2780
Country : US
Telephone Number : 513-367-2222
Fax Number : 513-367-6018
Authorized Official
Title or Position : CEO
Name : MR. PATRICK A KOWALSKI
Credential :
Telephone Number : 513-389-5056
Provider Enumeration Date : 10/13/2006
Last Update Date : 01/26/2022

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

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