Provider Demographics
NPI:1578663597
Name:MERCY HEALTH - WEST HOSPITAL LLC
Entity Type:Organization
Organization Name:MERCY HEALTH - WEST HOSPITAL LLC
Other - Org Name:MERCY FRANCISCAN HOSPITAL-WESTERN HILLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOWALSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-389-5056
Mailing Address - Street 1:4600 MCAULEY PL
Mailing Address - Street 2:5TH FLOOR - FINANCE
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4733
Mailing Address - Country:US
Mailing Address - Phone:513-981-6696
Mailing Address - Fax:513-981-6117
Practice Address - Street 1:3131 QUEEN CITY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2316
Practice Address - Country:US
Practice Address - Phone:513-389-5000
Practice Address - Fax:513-389-5469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1183OtherOHIO DEPT OF HEALTH
OH7645883Medicaid
OH1183OtherOHIO DEPT OF HEALTH