Healthcare Provider Details

I. General information

NPI: 1467493551
Provider Name (Legal Business Name): MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2213 CHERRY ST
TOLEDO OH
43608-2603
US

IV. Provider business mailing address

PO BOX 636447
CINCINNATI OH
45263-6447
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-3232
  • Fax: 419-251-3810
Mailing address:
  • Phone: 419-251-3232
  • Fax: 419-251-3810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number484033
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number484033
License Number StateOH

VIII. Authorized Official

Name: MR. JEFFREY A DEMPSEY
Title or Position: PRESIDENT ST VINCENT MEDICAL CENTER
Credential:
Phone: 419-251-3592