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General NPI Number Information
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NPI Number | 1114813003
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH BEHAVIORAL HOSPITAL LLC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 3170 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44505
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Country | US
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Telephone | 234-418-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 3170 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44505
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP REIMBURSMENT
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Name | KIMBERLY M RALSTON
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Credential |
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Telephone | 419-996-5119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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