| Mercy Health-regional Medical Center Llc | |
| 
					3700 Kolbe Rd Lorain OH 44053-1611  | |
| (440) 960-4740 | |
| (440) 960-4740 | 
| Full Name | Mercy Health-regional Medical Center Llc | 
|---|---|
| Speciality | Psychiatric Unit | 
| Location | 3700 Kolbe Rd, Lorain, Ohio | 
| Authorized Official Name and Position | Edwin Oley (PRESIDENT) | 
| Authorized Official Contact | 4409603295 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mercy Health-regional Medical Center Llc Po Box 636409 Cincinnati OH 45263-6409 Ph: (440) 960-4740  | Mercy Health-regional Medical Center Llc 3700 Kolbe Rd Lorain OH 44053-1611 Ph: (440) 960-4740  | 
| NPI Number | 1700281763 | 
|---|---|
| Provider Enumeration Date | 11/03/2014 | 
| Last Update Date | 12/06/2021 | 
| Certification Date | 12/06/2021 | 
| Medicare PECOS PAC ID | 3577471101 | 
|---|---|
| Medicare Enrollment ID | O20150415000106 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1700281763 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary | 
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