Organization
MERCY HEALTH-ALLEN HOSPITAL LLC
Active
Parent organization
MERCY HEALTH LORAIN LLC
Other names
Mercy Health Lagrange Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH LORAIN LLC
Authorized official
KIMBERLY M RALSTON (CEO)
(419) 996-5119
Entity
Organization
Contact information
Practice address
105 OPPORTUNITY WAY, LAGRANGE, OH 44050-9018
(440) 355-4206
(440) 355-4213
Mailing address
PO BOX 636573, CINCINNATI, OH 45263-0001
(440) 988-1009
(440) 988-1225
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056861
—
OH
Enumeration date
05/04/2009
Last updated
06/20/2023
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