MERCY HEALTH - DEFIANCE HOSPITAL LLC (NPI# 1629011234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629011234 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH - DEFIANCE HOSPITAL LLC |
| Other Organization Name | MERCY HEALTH - DEFIANCE HOSPITAL |
| Practice Address |
1404 E 2nd St Defiance OH 43512-2440 |
| Mailing Address |
Po Box 636524 Cincinnati OH 45263-6524 |
| Practice Telephone | 4197828444 |
| Practice Fax Number | 4192512109 |
| Mailing Telephone | 4197828444 |
| Mailing Fax Number | 4192512109 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-04-08 |
| Authorized Official Name | SONYA SUE SELHORST (ADMINISTRATOR OFFICER DEFIANCE) |
| Authorized Official Telephone | 4197853983 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2530309 | 05 | |
| OH | ANTHEM | 000000344458 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Health - Defiance Hospital | Doing Business As Name - Organization |
| Mercy Hospital of Defiance, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609420603 | Mercy Health - Defiance Hospital LLC | Clinic/Center | 604 W North Ave, Ada, OH 45810-1041 | 2019-07-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | MERCY HEALTH - DEFIANCE HOSPITAL LLC | 2200 Jefferson Ave, Toledo, OH 43604 |
| Street Address |
1404 E 2ND ST |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104888536 | Riverwood Emergency Services Inc. | Emergency Medicine | 1404 E 2nd St, Defiance, OH 43512-2440 | 2006-04-03 |
| 1679927594 | Matthew Radwan | Nurse Anesthetist, Certified Registered | 1404 E 2nd St, Defiance, OH 43512-2440 | 2016-04-17 |
| 1538547666 | Mable Brown | Nurse Practitioner | 1404 E 2nd St, Defiance, OH 43512-2440 | 2015-05-08 |
| 1578961157 | Orthopaedic Institute of Ohio, Inc. | Orthopaedic Surgery | 1404 E 2nd St, Defiance, OH 43512-2440 | 2014-12-12 |
| 1265490486 | Sterling Emergency Services of Ohio, Inc | Physician Assistant | 1404 E 2nd St, Defiance, OH 43512-2440 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896431 | Bridgeport Hospital | General Acute Care Hospital | 6150 Stumph Rd Apt 204, Parma, OH 44130-1872 | 2017-04-27 |
| 1922547496 | Stephen Grater | General Acute Care Hospital | 970 E Washington St Ste 3a, Medina, OH 44256-2181 | 2017-02-17 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| 1467997072 | Beverly Jean Cook I | General Acute Care Hospital | 610 Sanford Ave, Akron, OH 44305-2641 | 2017-01-05 |
| 1154865376 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 | 2016-12-07 |
| 1124577705 | The Christ Hospital | General Acute Care Hospital | 502 Walnut Ln, Mason, OH 45040-2018 | 2016-09-24 |
| 1790233195 | Kettering Medical Center | General Acute Care Hospital | 524 Grants Trl, Centerville, OH 45459-3120 | 2016-09-14 |
| 1326497355 | John Wallin | General Acute Care Hospital | 15797 Madison Rd, Middlefield, OH 44062-8408 | 2016-06-09 |
| 1649628595 | Gina John | General Acute Care Hospital | 14205 Liberty Ave, Cleveland, OH 44135-1461 | 2016-06-01 |
| 1033571351 | University of Pittsburgh Medical Center | General Acute Care Hospital | 15559 Pecan Oval, Middleburg Heights, OH 44130-3522 | 2016-03-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.