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MERCY HEALTH-ST RITAS MEDICAL CENTER LLC NPI 1487674297


NPI Information

NPI: 1487674297
Provider Name: MERCY HEALTH-ST RITAS MEDICAL CENTER LLC

Doing Business As: DELPHOS AMBULATORY CARE CENTER

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 36D0994573

Address:
1800 E 5TH ST
DELPHOS, OH
ZIP 45833
Phone: (419) 692-2662
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MERCY HEALTH-ST RITAS MEDICAL CENTER LLC is an urgent care clinic center in Delphos, OH. MERCY HEALTH-ST RITAS MEDICAL CENTER LLC NPI is 1487674297. The provider is registered as an organization entity type.
The provider Is Doing Business As Delphos Ambulatory Care Center.

The provider's business location address is:

1800 E 5TH ST
DELPHOS, OH
ZIP 45833-139
Phone: (419) 692-2662
Fax: (419) 996-5458

The provider's authorized official is Kimberly Ralston .
The authorized official title is System and has the following contact phone number (419) 996-5119.

The CLIA number assigned to this NPI record is 36D0994573 - ancillary testing site in health care center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 1/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12412811MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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