Mercy Health-St Ritas Medical Center LLC
Family Medicine in Lima, OH. Organization (NPI-2).
NPI number1982802971
StatusActive
Last updated in NPPESJan 13, 2022
Details
- NPI
- 1982802971
- Entity type
- Organization (NPI-2)
- Legal business name
- Mercy Health-St Ritas Medical Center LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 11, 2007
- Certification date
- Jan 13, 2022
- Last updated
- Jan 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OH-58001642 | OH | Yes |
Other names
- Dr. Michael Martz (Doing Business As)
Practice location
825 S Cable Rd Unit ALima, OH 45805-3467
Phone 419-224-1234
Mailing address
Po Box 73471Cleveland, OH 44193-0002
Phone 419-224-1234 · Fax 419-226-9831
Authorized official
Brian Smith
Vice President
4192273361
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