Healthcare Provider Details

I. General information

NPI: 1811975279
Provider Name (Legal Business Name): MOUNT CARMEL HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 MEADOW POND CT STE 200
GROVE CITY OH
43123-9827
US

IV. Provider business mailing address

3100 EASTON SQUARE PL STE 300
COLUMBUS OH
43219-6290
US

V. Phone/Fax

Practice location:
  • Phone: 614-871-7130
  • Fax: 614-277-2690
Mailing address:
  • Phone: 734-343-3320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW PRIDAY
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 614-546-4146