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MERCY HEALTH - WILLARD HOSPITAL LLC NPI 1154345577


NPI Information

NPI: 1154345577
Provider Name: MERCY HEALTH - WILLARD HOSPITAL LLC

Former Legal Business Name: SISTER OF MERCY OF WILLARD, OHIO

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
110 EAST HOWARD ST
WILLARD, OH
ZIP 44890
Phone: (419) 694-5020
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MERCY HEALTH - WILLARD HOSPITAL LLC is a counselor in Willard, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MERCY HEALTH - WILLARD HOSPITAL LLC NPI is 1154345577. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Sister Of Mercy Of Willard, Ohio.

The provider's business location address is:

110 EAST HOWARD ST
WILLARD, OH
ZIP 44890-611
Phone: (419) 694-5020

The provider's authorized official is Brian D Smith .
The authorized official title is Evp and has the following contact phone number (419) 226-9117.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 9/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
5208600000XSurgeryNo
6101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DF8732MEDICARE PINOHIO
2SI3613101MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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