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Organization
COMMUNITY MERCY HEALTH PARTNERS
Active
Organization
COMMUNITY MERCY HEALTH PARTNERS
Active
Other names
Excel Sports Medicine & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL C HILTZ (PRESIDENT & CEO)
(937) 523-5500
Entity
Organization
Contact information
Practice address
2600 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
(937) 390-5075
Mailing address
2600 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
(937) 390-5075
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5887634R
—
OH
Enumeration date
05/01/2006
Last updated
06/21/2013
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