# MERCY HEALTH-ST RITAS MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA WestSide-Luke Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144495151
- **Authorized official:** MR. BRIAN SMITH (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (419) 226-9502

## Contact information

- **Practice address:** 2195 ALLENTOWN RD, LIMA, OH 45805-1705
- **Practice address phone:** (419) 227-2245
- **Practice address fax:** (419) 229-1573
- **Mailing address:** PO BOX 951999, CLEVELAND, OH 44193-0021
- **Mailing address phone:** (419) 996-5114
- **Mailing address fax:** (419) 996-5410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2008
- **Last updated:** 01/13/2022
