MERCY HEALTH-ALLEN HOSPITAL LLC (NPI# 1306070594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306070594 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH-ALLEN HOSPITAL LLC |
| Other Organization Name | MERCY HEALTH LAGRANGE PRIMARY CARE |
| Practice Address |
105 Opportunity Way Lagrange OH 44050-9018 |
| Mailing Address |
Po Box 636573 Cincinnati OH 45263-0001 |
| Practice Telephone | 4403554206 |
| Practice Fax Number | 4403554213 |
| Mailing Telephone | 4409881009 |
| Mailing Fax Number | 4409881225 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2019-04-15 |
| Authorized Official Name | MR. EDWIN M OLEY (CEO) |
| Authorized Official Telephone | 4409603295 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HEALTH LORAIN LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0056861 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Health Lagrange Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780818963 | Mercy Health-allen Hospital LLC | Clinic/Center | 840 Patriot Dr, Wellington, OH 44090 | 2009-05-04 |
| 1851464721 | Mercy Health-allen Hospital LLC | Medicare Defined Swing Bed Unit | 200 W Lorain St, Oberlin, OH 44074-1026 | 2006-11-16 |
| 1801825997 | Mercy Health-allen Hospital LLC | General Acute Care Hospital | 200 W Lorain St, Oberlin, OH 44074-1026 | 2006-07-01 |
| Street Address |
105 OPPORTUNITY WAY |
| City | LAGRANGE |
| State | OH |
| Zip Code | 44050-9018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699031088 | Gustavo Gomez | Family Medicine | 105 Opportunity Way, Lagrange, OH 44050-9018 | 2012-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396116752 | Chelsey Mirto | Speech-Language Pathologist | 531 Opportunity Way, Lagrange, OH 44050 | 2015-10-12 |
| 1649687260 | Sarah Stack | Physical Therapy Assistant | 709 Black Bear Run, Lagrange, OH 44050 | 2014-07-15 |
| 1609197144 | William Vanek | Social Worker | 1875 North Ridge Rd, Suite K, Lorain, OH 44050 | 2010-06-18 |
| 1861546541 | Township of Lagrange | Ambulance | 123 Public Square, Lagrange, OH 44050 | 2007-01-22 |
| 1134200256 | Carlisle Township | Ambulance | 11950 Lagrange Rd, Lagrange, OH 44050 | 2006-10-17 |
| 1437463023 | Trista Andrews | Religious Nonmedical Nursing Personnel | 560 Mountain Lion Dr, Lagrange, OH 44050-8804 | 2010-08-05 |
| 1396380432 | Tamara E Sines | Occupational Therapist | 531 Opportunity Way, Lagrange, OH 44050-9016 | 2019-11-13 |
| 1467600726 | Lagrange Nursing & Rehabilitation Center, Inc. | Skilled Nursing Facility | 383 Opportunity Way, Lagrange, OH 44050-9019 | 2008-08-28 |
| 1548874589 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 448 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-08 |
| 1346854890 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 426 Opportunity Way, Lagrange, OH 44050-9021 | 2020-09-02 |
| Find all providers in zip 44050 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1790896611 | Redi-care Inc P C | Clinic/Center | 2120 N Detroit St, Lagrange, IN 46761-1147 | 2006-08-31 |
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| 1336632280 | Community Memorial Hospital | Clinic/Center | 104 S. West Street, Edgerton, OH 43517 | 2018-06-14 |
| 1790215614 | Health Professionals of Holmes County, Inc | Clinic/Center | 1261 Wooster Rd Ste 200, Millersburg, OH 44654-1570 | 2017-06-13 |
| 1306260609 | Morrow County Hospital | Clinic/Center | 692 State Route 61, Marengo, OH 43334 | 2014-02-07 |
| 1104265792 | Trinity Hospital Twin City | Clinic/Center | 110 North Walnut Street, Gnadenhutten, OH 44629 | 2013-06-18 |
| 1346594801 | Morgan County Family Practice | Clinic/Center | 4279 N State Route 376 Nw, Mcconnelsville, OH 43756-9145 | 2012-11-06 |
| 1932455359 | Earnest Mullins House of Hope: Shelter for The Homeless and Battered W | Clinic/Center | 164 S 2nd St, Byesville, OH 43723-1304 | 2012-08-03 |
| 1689806887 | Galion Community Hospital | Clinic/Center | 385 N. Seltzer Street, Crestline, OH 44827 | 2009-08-20 |
| 1780818963 | Mercy Health-allen Hospital LLC | Clinic/Center | 840 Patriot Dr, Wellington, OH 44090 | 2009-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.