Organization
MERCY HEALTH - ST ANNE HOSPITAL LLC
Active
Other names
Mercy Health - St Anne Hospital, Riverside Mercy Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD BERTKE (PRESIDENT & COO)
(419) 407-2400
Entity
Organization
Contact information
Practice address
3404 W SYLVANIA AVE, TOLEDO, OH 43623-4467
(419) 407-2400
(419) 407-3888
Mailing address
PO BOX 636512, CINCINNATI, OH 45263-6512
(419) 407-2400
(419) 407-3888
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156916
ANTHEM
OH
01
—
04157
PARAMOUNT
OH
01
—
05001
PARAMOUNT ADVANTAGE
OH
05
—
2037085
—
OH
05
—
5172616
—
MI
Enumeration date
05/28/2006
Last updated
01/13/2022
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