# MERCY HEALTH-ST RITAS MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** New Century Pediatrics Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770703910
- **Authorized official:** BRIAN SMITH (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (419) 996-5119

## Contact information

- **Practice address:** 730 W MARKET ST, LIMA, OH 45801-4602
- **Practice address phone:** (419) 226-9585
- **Mailing address:** PO BOX 931325, CLEVELAND, OH 44193-1517
- **Mailing address phone:** (419) 996-5114
- **Mailing address fax:** (419) 226-9831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | NULL | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/30/2007
- **Last updated:** 01/13/2022