Healthcare Provider Details

I. General information

NPI: 1992724660
Provider Name (Legal Business Name): MERCY HEALTH-ST CHARLES HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 NAVARRE AVE
OREGON OH
43616-3207
US

IV. Provider business mailing address

2600 NAVARRE AVE
OREGON OH
43616-3207
US

V. Phone/Fax

Practice location:
  • Phone: 419-696-7200
  • Fax:
Mailing address:
  • Phone: 419-696-7200
  • Fax:

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: MR. CRAIG ALBERS
Title or Position: PRESIDENT & COO ST CHARLES
Credential:
Phone: 419-696-7692