Organization
MERCY HEALTH-REGIONAL MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN OLEY (COO)
(440) 960-4000
Entity
Organization
Contact information
Practice address
3700 KOLBE RD, ATTN: PRE SERVICE CENTER MANAGER, LORAIN, OH 44053-1611
(440) 989-3801
(440) 960-0264
Mailing address
3700 KOLBE RD, ATTN: PRE SERVICE CENTER MANAGER, LORAIN, OH 44053-1611
(440) 989-3801
(440) 960-0264
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207207
—
OH
Enumeration date
08/04/2008
Last updated
05/01/2014
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