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Organization

CLEVELAND CLINIC MERCY HOSPITAL

Active
Parent organization
MERCY MEDICAL CENTER, INC.
Other names
Mercy Boutique
Organization subpart
Yes

Provider details

NPI number
Legal business name
MERCY MEDICAL CENTER, INC.
Authorized official
MR. DENNIS LARAWAY (EXECUTIVE VP CHIEF FINANCE OFFICER)
(216) 445-1343
Entity
Organization

Contact information

Practice address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 456-9960
(330) 456-9965
Mailing address
6801 BRECKSVILLE RD, STE 20, ATTN: DPC RK2-7, INDEPENDENCE, OH 44131-5062

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0298771
OH
Enumeration date
06/07/2007
Last updated
08/25/2025
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