# CLEVELAND CLINIC MERCY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY MEDICAL CENTER, INC.
- **Other names:** St. Paul Dental Service
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023362100
- **Legal business name:** MERCY MEDICAL CENTER, INC.
- **Authorized official:** MR. DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
- **Authorized official phone:** (330) 445-1343

## Contact information

- **Practice address:** 1459 SUPERIOR AVE NE, CANTON, OH 44705-1964
- **Practice address phone:** (330) 588-4893
- **Practice address fax:** (330) 453-2793
- **Mailing address:** 6801 BRECKSVILLE RD, STE 20, ATTN: DPC RK2-7, INDPENDENCE, OH 44131-5062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 08/25/2025