Organization
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Active
Parent organization
ST. RITA'S MEDICAL CENTER
Other names
Dr. Michael Martz
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. RITA'S MEDICAL CENTER
Authorized official
MR. BRIAN SMITH (VICE PRESIDENT)
(419) 227-3361
Entity
Organization
Contact information
Practice address
825 S CABLE RD UNIT A, LIMA, OH 45805-3467
(419) 224-1234
Mailing address
PO BOX 73471, CLEVELAND, OH 44193-0002
(419) 224-1234
(419) 226-9831
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OH-58001642
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2677965
—
OH
Enumeration date
07/11/2007
Last updated
01/13/2022
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