Organization
MERCY HEALTH PHYSICIANS-NORTH LLC
Active
Other names
Mercy Oregon Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA DACRE (CFO, MEDICAL GROUP)
(419) 251-9650
Entity
Organization
Contact information
Practice address
1050 ISAAC STREETS DR STE 122, OREGON, OH 43616-3243
(419) 693-4171
(419) 693-6863
Mailing address
1701 MERCY HEALTH PL, CINCINNATI, OH 45237-6147
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2939806
—
OH
Enumeration date
07/14/2015
Last updated
06/04/2020
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