| Mercy Health - Urbana Hospital Family Medicine And Pediatrics | |
|
204 Patrick Ave Urbana OH 43078-2302 | |
| (937) 484-6157 | |
| Not Available |
| Full Name | Mercy Health - Urbana Hospital Family Medicine And Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 204 Patrick Ave, Urbana, Ohio |
| Authorized Official Name and Position | Kimberly M Ralston (SYSTEM DIRECTOR) |
| Authorized Official Contact | 4199965119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health - Urbana Hospital Family Medicine And Pediatrics Po Box 639761 Cincinnati OH 45263-9761 Ph: (513) 952-5002 | Mercy Health - Urbana Hospital Family Medicine And Pediatrics 204 Patrick Ave Urbana OH 43078-2302 Ph: (937) 484-6157 |
| NPI Number | 1063066066 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 12/15/2020 |
| Medicare PECOS PAC ID | 6002884582 |
|---|---|
| Medicare Enrollment ID | O20190927001958 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063066066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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