Organization
MERCY HEALTH-ST CHARLES HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN L MICKUS (PRESIDENT & CEO)
(419) 251-8944
Entity
Organization
Contact information
Practice address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7411
Mailing address
2600 NAVARRE AVE, OREGON, OH 43616-3207
(419) 696-7411
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
OH
Other
Enumeration date
07/31/2006
Last updated
07/21/2022
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