Organization
COMMUNITY MERCY HEALTH PARTNERS
Active
Other names
Mercy Lifeline
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S. WIENER (PRESIDENT & CEO)
(937) 328-9515
Entity
Organization
Contact information
Practice address
1343 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 390-5228
Mailing address
1343 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 390-5228
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0811367
—
OH
Enumeration date
05/03/2006
Last updated
06/07/2010
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