Provider Demographics
NPI:1184646705
Name:MOUNT CARMEL HEALTH
Entity Type:Organization
Organization Name:MOUNT CARMEL HEALTH
Other - Org Name:MT. CARMEL FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP PATIENT FINANCIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEISLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-546-4444
Mailing Address - Street 1:PO BOX 634323
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-4323
Mailing Address - Country:US
Mailing Address - Phone:614-546-4477
Mailing Address - Fax:
Practice Address - Street 1:477 COOPER RD
Practice Address - Street 2:SUITE 300
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-8053
Practice Address - Country:US
Practice Address - Phone:614-898-8808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0384963Medicaid
OH2684OtherRAILROAD MEDICARE PIN
OH3600351Medicare PIN