MERCY HEALTH-ALLEN HOSPITAL LLC NPI 1306070594

NPI Information

NPI: 1306070594
Provider Name: MERCY HEALTH-ALLEN HOSPITAL LLC

Doing Business As: MERCY HEALTH LAGRANGE PRIMARY CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
105 OPPORTUNITY WAY
LAGRANGE, OH
ZIP 44050
Phone: (440) 355-4206
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MERCY HEALTH-ALLEN HOSPITAL LLC is a rural health clinic center in Lagrange, OH. MERCY HEALTH-ALLEN HOSPITAL LLC NPI is 1306070594. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Health Lagrange Primary Care.

The provider's business location address is:

105 OPPORTUNITY WAY
LAGRANGE, OH
ZIP 44050-018
Phone: (440) 355-4206
Fax: (440) 355-4213

The provider's authorized official is Kimberly M Ralston .
The authorized official title is Ceo and has the following contact phone number (419) 996-5119.

The enumeration date for this NPI number is 5/4/2009 and was last updated on 6/20/2023.

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	261QR1300X	Clinic/Center	Rural Health			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	0056861	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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