Provider Demographics
NPI:1033558911
Name:MERCY HEALTH - WEST HOSPITAL LLC
Entity Type:Organization
Organization Name:MERCY HEALTH - WEST HOSPITAL LLC
Other - Org Name:MERCY HEALTH - WEST HOSPITAL
Other - Org Type:Other Name
Authorized Official - Title/Position:MARKET LEADER & PRESIDENT WEST MKT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-389-5591
Mailing Address - Street 1:3300 MERCY WEST BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211
Mailing Address - Country:US
Mailing Address - Phone:513-389-5591
Mailing Address - Fax:
Practice Address - Street 1:3300 MERCY WEST BOULEVARD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211
Practice Address - Country:US
Practice Address - Phone:513-389-5591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-24
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH360234Medicare PIN