Mercy Boutique

LBN: Cleveland Clinic Mercy Hospital
Mercy Boutique is an health care organization with primary practice located at 1320 Mercy Dr Nw , Canton OH 44708-2614. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Cleveland Clinic Mercy Hospital can be contacted via phone (330) 456-9960, or through Holt, Michael C via phone (330) 489-1268.

Contact Information

Primary practice address
1320 Mercy Dr Nw Canton OH 44708-2614
Fax: (330) 456-9965
Website:
Authorized official contact:
Name: Holt, Michael C

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1225231103
LBN Legal business name Cleveland Clinic Mercy Hospital
DBA Doing business as Mercy Boutique
Authorized official Holt, Michael C
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 7th, 2007
Last updated Apr 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225231103 NPPES
Ohio MEDICAID 0298771

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