Organization
MERCY HEALTH PHYSICIANS-NORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA DACRE (CFO, MEDICAL GROUP)
(419) 251-9650
Entity
Organization
Contact information
Practice address
3030 W SYLVANIA AVE, SUITE 105, TOLEDO, OH 43613-4100
(419) 474-3338
(419) 474-5193
Mailing address
1701 MERCY HEALTH PL, CINCINNATI, OH 45237-6147
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2939806
—
OH
Enumeration date
12/16/2014
Last updated
07/23/2021
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