Mercy Health Lagrange Primary Care is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Lagrange, Ohio. The current practice location for Mercy Health Lagrange Primary Care is 105 Opportunity Way, Lagrange, Ohio. For appointments, you can reach them via phone at
(440) 355-4206. The mailing address for Mercy Health Lagrange Primary Care is Po Box 636573, Cincinnati, Ohio and phone number is (440) 988-1009.
Mercy Health Lagrange Primary Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1306070594. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(440) 355-4206.
Primary Care Clinic Profile
| Full Name | Mercy Health Lagrange Primary Care |
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| Speciality | Clinic/Center |
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| Location | 105 Opportunity Way, Lagrange, Ohio |
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| Authorized Official Name and Position | Kimberly M Ralston (CEO) |
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| Authorized Official Contact | 4199965119 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mercy Health Lagrange Primary Care
Po Box 636573
Cincinnati
OH 45263-0001
Ph: (440) 988-1009 | Mercy Health Lagrange Primary Care
105 Opportunity Way
Lagrange
OH 44050-9018
Ph: (440) 355-4206 |
NPI Details:
| NPI Number | 1306070594 |
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| Provider Enumeration Date | 05/04/2009 |
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| Last Update Date | 06/20/2023 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 5092802389 |
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| Medicare Enrollment ID | O20110901000402 |
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Medical Identifiers
Medical identifiers for Mercy Health Lagrange Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306070594 | NPI | - | NPPES |
| 0056861 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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