MEDICARE: MOUNT CARMEL HEALTH SYSTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QS1200X	Sleep Disorder Diagnostic Clinic/Center		OH

General Provider Information

NPI Number	:	1073615456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOUNT CARMEL HEALTH SYSTEM

Provider Business Mailing Address
First Line	:	3100 EASTON SQUARE PL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-6289
Country	:	US
Telephone Number	:	734-343-3320
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 TAYLOR STATION RD STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4470
Country	:	US
Telephone Number	:	614-627-1305
Fax Number	:

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	ANDREW PRIDAY
Credential	:
Telephone Number	:	614-546-4146

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	03/02/2026

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Directions to “MOUNT CARMEL HEALTH SYSTEM ” Practice Location

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