MERCY HEALTH PHYSICIANS-NORTH LLC NPI 1396143814

NPI Information

NPI: 1396143814
Provider Name: MERCY HEALTH PHYSICIANS-NORTH LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
3030 W SYLVANIA AVE
SUITE 105
TOLEDO, OH
ZIP 43613
Phone: (419) 474-3338
Get Directions

MERCY HEALTH PHYSICIANS-NORTH LLC is a customized equipment durable medical equipment medical supplies in Toledo, OH. MERCY HEALTH PHYSICIANS-NORTH LLC NPI is 1396143814. The provider is registered as an organization entity type.

The provider's business location address is:

3030 W SYLVANIA AVE
SUITE 105
TOLEDO, OH
ZIP 43613-100
Phone: (419) 474-3338
Fax: (419) 474-5193

The provider's authorized official is Olivia Dacre .
The authorized official title is Cfo, Medical Group and has the following contact phone number (419) 251-9650.

The enumeration date for this NPI number is 12/16/2014 and was last updated on 7/23/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2939806	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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