Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI # | 1184629115 |
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| LBN Legal business name | MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC | ||||||||
| Authorized official | RICHARD EVENS - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/16/2005 | ||||||||
| Last updated | 01/25/2022 - About 4 years ago | ||||||||
| Identifiers |
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