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MERCY HEALTH - WILLARD HOSPITAL LLC NPI 1265605240


NPI Information

NPI: 1265605240
Provider Name: MERCY HEALTH - WILLARD HOSPITAL LLC

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

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
110 E HOWARD ST
WILLARD, OH
ZIP 44890
Phone: (419) 964-5000
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MERCY HEALTH - WILLARD HOSPITAL LLC is a cardiovascular disease internal medicine in Willard, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MERCY HEALTH - WILLARD HOSPITAL LLC NPI is 1265605240. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Sister Of Mercy Of Willard, Ohio.

The provider's business location address is:

110 E HOWARD ST
WILLARD, OH
ZIP 44890-611
Phone: (419) 964-5000

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 4/10/2008 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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
12692368MEDICAIDOHIO
2SI9365221MEDICARE 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: 4/28/2024

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