Healthcare Provider Details

I. General information

NPI: 1144286352
Provider Name (Legal Business Name): COMMUNITY MERCY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2006
Last Update Date: 03/02/2021
Certification Date: 03/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 SCIOTO ST
URBANA OH
43078
US

IV. Provider business mailing address

PO BOX 636374
CINCINNATI OH
45263-6374
US

V. Phone/Fax

Practice location:
  • Phone: 937-653-5231
  • Fax:
Mailing address:
  • Phone: 513-952-5002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY M RALSTON
Title or Position: SYSTEM DIRECTOR
Credential:
Phone: 419-996-5119