# MERCY HEALTH BOARDMAN SURGERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MERCY HEALTH CANFIELD ASC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700492170
- **Authorized official:** MRS. KIMBERLY RALSTON (SYSTEM DIRECTOR PAYOR ADMIN)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 4147 WESTFORD PL, CANFIELD, OH 44406-8086
- **Practice address phone:** (513) 952-5273
- **Mailing address:** 4147 WESTFORD PL, CANFIELD, OH 44406-8086

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/21/2020
- **Last updated:** 09/21/2020