Healthcare Provider Details

I. General information

NPI: 1295808152
Provider Name (Legal Business Name): MERCY HEALTH-REGIONAL MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 05/20/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 KOLBE RD
LORAIN OH
44053-1611
US

IV. Provider business mailing address

PO BOX 636409
CINCINNATI OH
45263-6409
US

V. Phone/Fax

Practice location:
  • Phone: 440-960-4000
  • Fax: 440-960-3359
Mailing address:
  • Phone: 440-960-4000
  • Fax: 440-960-3359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: MRS. KIMBERLY M. RALSTON
Title or Position: SYSTEM DIRECTOR
Credential:
Phone: 419-996-5119