Provider Demographics
NPI:1184761942
Name:MERCY FRANCISCAN AT SCHRODER
Entity type:Organization
Organization Name:MERCY FRANCISCAN AT SCHRODER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:CALVERT
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA, MGS
Authorized Official - Phone:513-867-4101
Mailing Address - Street 1:1302 MILLVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-3961
Mailing Address - Country:US
Mailing Address - Phone:513-867-4100
Mailing Address - Fax:513-867-1415
Practice Address - Street 1:1302 MILLVILLE AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-3961
Practice Address - Country:US
Practice Address - Phone:513-867-4100
Practice Address - Fax:513-867-1415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1507310400000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0985591Medicaid
OH0985591Medicaid