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1700281763 NPI number — MERCY HEALTH-REGIONAL MEDICAL CENTER LLC

NPI Number: 1700281763
Health Care Provider/Practitioner: MERCY HEALTH-REGIONAL MEDICAL CENTER LLC

Information about “1700281763” NPI (MERCY HEALTH-REGIONAL MEDICAL CENTER LLC) exists in 1700281763 in HTML format HTML  |  1700281763 in plain Text format TXT  |  1700281763 in PDF (Portable Document Format) PDF  |  1700281763 in an XML format XML  formats.

NPI Number : 1700281763 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700281763",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "MERCY HEALTH REGIONAL MEDICAL CENTER LLC",
    "ParentOrgTIN": null,
    "OrgName": "MERCY HEALTH-REGIONAL MEDICAL CENTER LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 636409",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CINCINNATI",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "45263-6409",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "440-960-4740",
    "MailingAddressFaxNumber": "440-960-4630",
    "FirstLinePracticeLocationAddress": "3700 KOLBE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LORAIN",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44053-1611",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "440-960-4740",
    "PracticeLocationAddressFaxNumber": "440-960-4740",
    "EnumerationDate": "11/03/2014",
    "LastUpdateDate": "12/06/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OLEY",
    "AuthorizedOfficialFirstName": "EDWIN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "440-960-3295",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "273R00000X",
        "TaxonomyName": "Psychiatric Hospital Unit",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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