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MERCY HEALTH-ST RITAS MEDICAL CENTER LLC NPI 1144495151


NPI Information

NPI: 1144495151
Provider Name: MERCY HEALTH-ST RITAS MEDICAL CENTER LLC

Doing Business As: DBA WESTSIDE-LUKE URGENT CARE

Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

Address:
2195 ALLENTOWN RD
LIMA, OH
ZIP 45805
Phone: (419) 227-2245
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MERCY HEALTH-ST RITAS MEDICAL CENTER LLC is an emergency medical services emergency medicine in Lima, OH. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. MERCY HEALTH-ST RITAS MEDICAL CENTER LLC NPI is 1144495151. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dba Westside-luke Urgent Care.

The provider's business location address is:

2195 ALLENTOWN RD
LIMA, OH
ZIP 45805-705
Phone: (419) 227-2245
Fax: (419) 229-1573

The provider's authorized official is Brian Smith .
The authorized official title is Executive Vice President and has the following contact phone number (419) 226-9502.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 1/13/2022.


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
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

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
17649503MEDICAIDOHIO

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

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