Healthcare Provider Details

I. General information

NPI: 1033705934
Provider Name (Legal Business Name): MERCY HEALTH - LIFE FLIGHT NETWORK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2020
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 JEFFERSON AVE FL 5B
TOLEDO OH
43604-7102
US

IV. Provider business mailing address

PO BOX 636811
CINCINNATI OH
45263-6811
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-6210
  • Fax:
Mailing address:
  • Phone: 419-245-6210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY RALSTON
Title or Position: VP REIMBURSEMENT
Credential:
Phone: 419-996-5119