Organization
COMMUNITY MERCY HEALTH PARTNERS
Active
Other names
Springfield Neurosurgical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S. WIENER (PRESIDENT AND CEO)
(937) 328-9515
Entity
Organization
Contact information
Practice address
2200 N LIMESTONE ST, SUITE 100, SPRINGFIELD, OH 45503-2665
(937) 328-8018
(937) 328-6203
Mailing address
2200 N LIMESTONE ST, SUITE 100, SPRINGFIELD, OH 45503-2665
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE1457
RAILROAD MEDICARE
OH
Enumeration date
06/27/2006
Last updated
06/07/2010
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