MERCY HEALTH-ST. CHARLES HOSPITAL, LLC (NPI# 1801815576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801815576 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH-ST. CHARLES HOSPITAL, LLC |
| Other Organization Name | ST CHARLES HOSPITAL OF OREGON, OHIO |
| Practice Address |
2600 Navarre Ave Oregon OH 43616 |
| Mailing Address |
2600 Navarre Ave Oregon OH 43616-3207 |
| Practice Telephone | 4196967411 |
| Mailing Telephone | 4196967411 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-04-08 |
| Authorized Official Name | MR. CRAIG A ALBERS (PRESIDENT & COO) |
| Authorized Official Telephone | 4196967692 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Mercy Healh St Charles Hospital | Doing Business As Name - Organization |
| St Charles Hospital of Oregon, Ohio | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992724660 | Mercy Health-st. Charles Hospital, LLC | Rehabilitation Unit | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2006-07-19 |
| 1497792568 | Mercy Health-st. Charles Hospital, LLC | General Acute Care Hospital | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2006-05-31 |
| Street Address |
2600 NAVARRE AVE |
| City | OREGON |
| State | OH |
| Zip Code | 43616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678625 | Norman G Zavela | Anesthesiology | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2005-06-08 |
| 1659972677 | Begum Gocmen | Psychiatry & Neurology | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2020-11-05 |
| 1376153007 | Elizabeth Juliette Wirth | Registered Nurse | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2020-08-07 |
| 1437700085 | Patricia Ann Whitcomb | Nurse Practitioner | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2019-09-25 |
| 1235782988 | Matthew Joseph Pawlaczyk | Nurse Anesthetist, Certified Registered | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2019-07-22 |
| 1033698774 | Tamara Lynn Carruthers | Licensed Practical Nurse | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2018-08-13 |
| 1275040784 | Aaron Alexander Koerten | Physician Assistant | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2018-01-05 |
| 1164932109 | Kelsey Hill | Pharmacist | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2017-10-04 |
| 1154847317 | Andrea Kistner | Nurse Practitioner | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2017-08-19 |
| 1336677137 | Jerome Pasquale | Pharmacist | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| Find all providers in zip 43616 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
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|---|---|---|---|---|
| 1023630761 | Winter Spring Health Services | Psychiatric Unit | 13509 Highlandview Ave, Cleveland, OH 44135-1622 | 2020-05-16 |
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1093256059 | Usaf | Psychiatric Unit | 418 Shrewsbury St, Holland, OH 43528-8568 | 2017-03-10 |
| 1235493990 | Mifflin Youth Group | Psychiatric Unit | 1688 Schrock Rd, Columbus, OH 43229-1500 | 2012-06-27 |
| 1851547392 | Ipg Rs LLC | Psychiatric Unit | 17872 Lincoln Hwy, Middle Point, OH 45863-9700 | 2008-08-15 |
| 1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
| 1073568994 | Windsor Hospital | Psychiatric Unit | 115 E Summit St, Chagrin Falls, OH 44022-2711 | 2006-05-23 |
| 1457314502 | Medical University of Ohio At Toledo | Psychiatric Unit | 3000 Arlington Ave # Ms 1166, Toledo, OH 43614-2595 | 2006-04-10 |
| 1598765000 | Defiance Hospital Inc. | Psychiatric Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-07-26 |
| 1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
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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.