Organization
MERCY PROFESSIONAL CARE, LLC
Active
Other names
Mercy Professional Care Corp
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM LONGVILLE (CHIEF ACCOUNTING OFFICER AND CONTRO)
(216) 636-7416
Entity
Organization
Contact information
Practice address
1320 MERCY DR NW, SECOND FLOOR MERCY HALL, CANTON, OH 44708-2614
(330) 471-5930
(330) 471-5938
Mailing address
1320 MERCY DR NW, CANTON, OH 44708-2614
(330) 489-1114
(330) 489-1281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35069673
OH
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
OH
207RI0200X
Infectious Disease Physician
—
OH
207V00000X
Obstetrics & Gynecology Physician
35090597
OH
207VM0101X
Maternal & Fetal Medicine Physician
—
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
208200000X
Plastic Surgery Physician
34009124
OH
208600000X
Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157366
—
OH
Enumeration date
07/23/2006
Last updated
01/04/2023
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