MERCY HEALTH - DEFIANCE HOSPITAL LLC (NPI# 1609420603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609420603 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH - DEFIANCE HOSPITAL LLC |
| Other Organization Name | MERCY HEALTH - DEFIANCE HOSPITAL FAMILY MEDICINE, ADA |
| Practice Address |
604 W North Ave Ada OH 45810-1041 |
| Practice Telephone | 4196340431 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | MS. SONYA SELHORST (ADMINISTRATOR) |
| Authorized Official Telephone | 4197853983 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ADA FAMILY MEDICINE | Doing Business As Name - Organization |
| MERCY HEALTH - DEFIANCE HOSPITAL FAMILY MEDICINE, ADA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629011234 | Mercy Health - Defiance Hospital LLC | General Acute Care Hospital | 1404 E 2nd St, Defiance, OH 43512-2440 | 2006-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | MERCY HEALTH - DEFIANCE HOSPITAL LLC | 2200 Jefferson Ave, Toledo, OH 43604 |
| Street Address |
604 W NORTH AVE |
| City | ADA |
| State | OH |
| Zip Code | 45810-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821159575 | Teresa E Rush | Nurse Practitioner | 604 W North Ave, Ada, OH 45810 | 2006-12-13 |
| 1861845158 | Jenelle Niese | Nurse Practitioner | 604 W North Ave, Ada, OH 45810-1041 | 2016-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668183 | Ohio Northern University | Pharmacy | 511 W Lincoln Ave, Ada, OH 45810 | 2017-09-26 |
| 1104210723 | Brady Pickford | Registered Nurse | 0257 S.r. 235, Ada, OH 45810 | 2015-03-20 |
| 1356546808 | Ada-liberty Jt Ambulance Dis | Ambulance | 530 North Gilbert Street, Ada, OH 45810 | 2007-06-15 |
| 1215158845 | Justin Eugene Lehman | Specialist/Technologist | 525 S. Main Street, King-horn Sportscenter, Ada, OH 45810 | 2007-05-01 |
| 1447371935 | Michael David Elliott | Pharmacist | 610 S. Main St., Ada, OH 45810 | 2007-04-02 |
| 1346346913 | Billy T Morgan IIi | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-09-15 |
| 1174514145 | Donald Lawrence Sullivan | Pharmacist | Ohio Northern University, College of Pharmacy, Ada, OH 45810 | 2005-10-31 |
| 1407921117 | Ada Family Dentistry | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-11-21 |
| 1538246038 | Mark Benner Shull | Dentist | 120 S Main Street, Ada, OH 45810 | 2006-11-01 |
| 1710528898 | Morgan Nicole Nolletti | Physician Assistant | 505 N Gilbert St, Ada, OH 45810-1011 | 2019-09-30 |
| Find all providers in zip 45810 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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|---|---|---|---|---|
| 1366886186 | Bridges Medical Center | Clinic/Center | 201 9th St W, Ada, MN 56510-1279 | 2013-04-23 |
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| 1053965053 | Mercy Health - Tiffin Hospital, LLC | Clinic/Center | 202 W Mansfield St, New Washington, OH 44854-9532 | 2019-07-29 |
| 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.