Organization
MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILBUR GAY (CFO)
(864) 605-3762
Entity
Organization
Contact information
Practice address
1050 ISAAC STREETS DR STE 122, OREGON, OH 43616-3243
(419) 693-4171
(419) 693-6863
Mailing address
PO BOX 631336, CINCINNATI, OH 45263-1336
(888) 696-3541
(513) 952-6002
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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