Provider Demographics
NPI:1770668568
Name:MOUNT CARMEL HEALTH SYSTEM
Entity type:Organization
Organization Name:MOUNT CARMEL HEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-546-4146
Mailing Address - Street 1:3100 EASTON SQUARE PL STE 300
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6290
Mailing Address - Country:US
Mailing Address - Phone:734-343-3320
Mailing Address - Fax:
Practice Address - Street 1:7333 SMITHS MILL RD
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-9291
Practice Address - Country:US
Practice Address - Phone:614-775-6600
Practice Address - Fax:614-775-5071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1451284300000X
282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No284300000XHospitalsSpecial Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH41205300300OtherBUREAU OF WORKERS COMPENS
000000312887OtherANTHEM
125376100OtherUS DEPARTMENT OF LABOR
OH2458979Medicaid
OH41205300300OtherBUREAU OF WORKERS COMPENS