Healthcare Provider Details

I. General information

NPI: 1346207404
Provider Name (Legal Business Name): COMMUNITY MERCY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 06/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 N LIMESTONE ST
SPRINGFIELD OH
45503-1114
US

IV. Provider business mailing address

2600 N LIMESTONE ST
SPRINGFIELD OH
45503-1114
US

V. Phone/Fax

Practice location:
  • Phone: 937-390-5075
  • Fax:
Mailing address:
  • Phone: 937-390-5075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL C HILTZ
Title or Position: PRESIDENT & CEO
Credential:
Phone: 937-523-5500