Healthcare Provider Details

I. General information

NPI: 1356367841
Provider Name (Legal Business Name): MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 04/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 W MARKET ST
LIMA OH
45801
US

IV. Provider business mailing address

PO BOX 636372
CINCINNATI OH
45263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 419-226-9031
  • Fax: 419-226-9845
Mailing address:
  • Phone: 419-226-9031
  • Fax: 419-226-9845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. TIM RIEGER
Title or Position: REGIONAL CFO & VP FINANCE
Credential:
Phone: 419-226-9775