Organization
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Active
Other names
DBA WestSide-Luke Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH (EXECUTIVE VICE PRESIDENT)
(419) 226-9502
Entity
Organization
Contact information
Practice address
2195 ALLENTOWN RD, LIMA, OH 45805-1705
(419) 227-2245
(419) 229-1573
Mailing address
PO BOX 951999, CLEVELAND, OH 44193-0021
(419) 996-5114
(419) 996-5410
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7649503
—
OH
Enumeration date
04/30/2008
Last updated
01/13/2022
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