Organization
MERCY HEALTH PHYSICIANS CINCINNATI, LLC
Active
Parent organization
MERCY HEALTH WESTERN HILLS ORTHO & SPINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH WESTERN HILLS ORTHO & SPINE
Authorized official
MS. DONNA FULTZ (CORPORATE MANAGER)
(513) 981-6610
Entity
Organization
Contact information
Practice address
2859 BOUDINOT AVE, SUITE 304, CINCINNATI, OH 45238-1606
(513) 981-6784
(513) 981-4346
Mailing address
PO BOX 632110, CINCINNATI, OH 45263-2110
(513) 981-6610
(513) 981-6103
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0270942
—
OH
Enumeration date
11/05/2014
Last updated
11/05/2014
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