MERCY HEALTH - REGENCY PARK SURGERY CENTER – NPI #1053706903
Clinic/Center

MERCY HEALTH - REGENCY PARK SURGERY CENTER is an AHC clinic located in TOLEDO, OH. NPPES has assigned the NPI number 1053706903 to MERCY HEALTH - REGENCY PARK SURGERY CENTER on March 30, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MERCY HEALTH - REGENCY PARK SURGERY CENTER” is a dba name, the actual legal business name for this organization is MERCY HEALTH - ST ANNE HOSPITAL LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 4 years ago on Jan 13, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERCY HEALTH - REGENCY PARK SURGERY CENTER below.

NPI Profile for
MERCY HEALTH - ST ANNE HOSPITAL LLC

NPI Number
1053706903
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MERCY HEALTH - ST ANNE HOSPITAL LLC
Doing Business As (dba): MERCY HEALTH - REGENCY PARK SURGERY CENTER
Primary location
2000 REGENCY CT
SUITE 101
TOLEDO, OH 43623-3090
Phone: (419) 882-0003 Fax:
Mailing address
3404 W SYLVANIA AVE
TOLEDO, OH 43623-4467
Phone: (419) 407-2400 Fax:
Organization Subpart
Yes - MERCY HEALTH - REGENCY PARK SURGERY CENTER is subpart of another organization.
Authorized Official
BRADLEY BERTKE
CEO
Phone: (419) 407-2400
Updated
Certification Date
Jan 13, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.