Healthcare Provider Details

I. General information

NPI: 1356518732
Provider Name (Legal Business Name): MOUNT CARMEL HEALTH PROVIDERS TWO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 N COLUMBUS ST SUITE 270
LANCASTER OH
43130-8185
US

IV. Provider business mailing address

PO BOX 951144
CLEVELAND OH
44193-0005
US

V. Phone/Fax

Practice location:
  • Phone: 614-234-0444
  • Fax: 614-234-0456
Mailing address:
  • Phone: 614-546-4400
  • Fax: 614-546-4441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA SHEETS
Title or Position: SENIOR VP
Credential:
Phone: 614-546-4531