Organization
MERCY HEALTH-ALLEN HOSPITAL LLC
Active
Parent organization
MERCY HEALTH LORAIN LLC
Other names
MH-WELLINGTON PRIMARY CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH LORAIN LLC
Authorized official
KIMBERLY M RALSTON (VP REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
840 PATRIOT DR, WELLINGTON, OH 44090
(440) 647-2225
Mailing address
PO BOX 636573, CINCINNATI, OH 45263-0001
(440) 988-1009
(440) 988-1225
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062505
—
OH
Enumeration date
05/04/2009
Last updated
06/20/2023
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