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Organization
MERCY HEALTH - WILLARD HOSPITAL LLC
Active
Organization
MERCY HEALTH - WILLARD HOSPITAL LLC
Active
Other names
Sisters of Mercy of Willard, Ohio, Mercy Health - Willard Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BUFFY LYNN DETTERMAN (CEO)
(419) 455-7074
Entity
Organization
Contact information
Practice address
1100 NEAL ZICK ROAD, WILLARD, OH 44890-9287
(419) 964-5000
(419) 964-5178
Mailing address
PO BOX 636547, CINCINNATI, OH 45263-6547
(419) 964-5000
(419) 964-5178
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000157361
ANTHEM
OH
05
—
9474500
—
OH
Enumeration date
05/26/2006
Last updated
02/01/2022
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