Organization
COMMUNITY MERCY HEALTH PARTNERS
Active
Other names
Community Mercy Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S. WIENER (PRESIDENT & CEO)
(937) 328-9515
Entity
Organization
Contact information
Practice address
2600 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
(937) 390-5075
Mailing address
2600 N LIMESTONE ST, SPRINGFIELD, OH 45503-1114
(937) 390-5075
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5887634R
—
OH
Enumeration date
04/26/2006
Last updated
06/07/2010
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