# MERCY HEALTH-ST CHARLES HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417986886
- **Authorized official:** SAMANTHA PLATZKE (CFO)
- **Authorized official phone:** (419) 251-2046

## Contact information

- **Practice address:** 2600 NAVARRE AVE, OREGON, OH 43616-3207
- **Practice address phone:** (419) 251-4364
- **Mailing address:** 2200 JEFFERSON AVE, 4TH FL, TOLEDO, OH 43624-1120
- **Mailing address phone:** (419) 251-8997
- **Mailing address fax:** (419) 251-3553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 01/13/2022