Healthcare Provider Details

I. General information

NPI: 1780641175
Provider Name (Legal Business Name): COMMUNITY MERCY HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 SCIOTO ST
URBANA OH
43078
US

IV. Provider business mailing address

906 SCIOTO ST
URBANA OH
43078-2226
US

V. Phone/Fax

Practice location:
  • Phone: 937-653-5432
  • Fax:
Mailing address:
  • Phone: 937-653-5432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. JENELLE ZELINSKI
Title or Position: CFO
Credential:
Phone: 937-523-6634