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DSH360112 MERCY HEALTH - ST. VINCENT MEDICAL CENTER (Active)
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Main Details
Name
MERCY HEALTH - ST. VINCENT MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360112
Medicare Provider Number
360112
Additional Details
Current Program Status
Active
Registration Date
9/10/2007
Participating Start Date
1/1/2005
Participating Approval Date
9/10/2007
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Mercy Health - St. Vincent Mercy Medical Center
Michael Whipple, Hospital CFO
(419) 251-6935
Primary Contact
Bon Secours Mercy Health - St Vincent Medical Center
Phillip Nelson, Dir Pharmacy
(419) 251-2540
Addresses
Street Address
2213 CHERRY STREET
TOLEDO, OH 43608
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/29/12 UPDATED ENTITY NAME (WAS ST VINCENT MERCY MEDICAL CENTER)
02/29/2012
April 2025
April 2025
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