Healthcare Provider Details

I. General information

NPI: 1831157205
Provider Name (Legal Business Name): COMMUNITY MERCY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 MEDICAL CENTER DR
SPRINGFIELD OH
45504
US

IV. Provider business mailing address

PO BOX 636374
CINCINNATI OH
45263-6374
US

V. Phone/Fax

Practice location:
  • Phone: 937-523-1001
  • Fax:
Mailing address:
  • Phone: 937-523-1001
  • 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: MS. JENELLE ZELINSKI
Title or Position: CFO
Credential:
Phone: 937-523-6634