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NPI 1366532301

NPI 1366532301 : MERCY HEALTH - WEST HOSPITAL LLC : HARRISON, OH

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General NPI Number Information
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    NPI Number           |    1366532301
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    Entity Type          |    Organization 
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    Legal Business Name  |    MERCY HEALTH - WEST HOSPITAL LLC 
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Dates
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    Enumeration Date     |    10/13/2006
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    Last Update Date     |    01/26/2022
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Provider Practice Location Address
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    Address Line         |    10450 NEW HAVEN RD 
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    City                 |    HARRISON
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    State                |    OH
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    Zip                  |    45030-2780
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    Country              |    US
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    Telephone            |    513-367-2222
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    Fax                  |    513-367-6018
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Provider Business Mailing Address
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    Address Line         |    4600 MCAULEY PL 5TH FLOOR - FINANCE
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45242-4733
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    Country              |    US
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    Telephone            |    513-981-6696
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    Fax                  |    513-981-6117
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. PATRICK A KOWALSKI 
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    Credential           |    
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    Telephone            |    513-389-5056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QE0002X
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    Taxonomy Name        |    Emergency Care Clinic/Center
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    License Number       |    
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    License Number State |    
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