Organization
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Active
Organization
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SMITH (EXECUTIVE VICE PRESIDENT)
(419) 226-9052
Entity
Organization
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 226-9694
Mailing address
PO BOX 73297, CLEVELAND, OH 44193-0002
(419) 996-5114
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
OH35042953
OH
Other
Enumeration date
11/15/2006
Last updated
01/13/2022
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