MEDICARE: MERCY HEALTH URGENT CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	261QU0200X	Urgent Care Clinic/Center
3	208000000X	Pediatrics Physician
4	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1588390942
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTH URGENT CARE LLC

Provider Business Mailing Address
First Line	:	4600 MCAULEY PL STE 600
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4778
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1064 STATE ROUTE 28 UNIT F
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150-4940
Country	:	US
Telephone Number	:	513-981-4050
Fax Number	:	513-322-4859

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	CASSIE LOWE
Credential	:
Telephone Number	:	513-952-5210

Provider Enumeration Date	:	07/28/2022
Last Update Date	:	03/11/2026

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