Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oxygen Equipment & Supplies |
332BX2000X | B1 | Oxygen supplier | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Parenteral & Enteral Nutrition |
332BP3500X | 87 | All Other Suppliers |
| NPI # | 1629094115 |
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| LBN Legal business name | MERCY HEALTH-ST RITAS MEDICAL CENTER LLC | ||||||||||||||||
| Authorized official | KIMBERLY RALSTON - (VP REIMBURSEMENT) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 07/15/2006 | ||||||||||||||||
| Last updated | 05/12/2025 - More than a year ago | ||||||||||||||||
| Identifiers |
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