MERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC
NPI 1043972482
Durable Medical Equipment & Medical Supplies - Customized Equipment in Defiance, OH

Q: What is the provider's specialty?

The provider's specialty is Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.

Active since October 13, 2021CLIA 36D0331199 · Microscopy

1400 E 2ND ST, DEFIANCE, OH 43512(419) 784-1414 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mercy Medical Partners Northern Region Specialty Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC (NPI 1043972482) is a healthcare organization registered as a customized equipment in Defiance, Ohio and active in the NPI registry since October 2021. The organization holds a CLIA Microscopy certificate valid through October 22, 2026 and lists Wilbur Gay, Cfo, as its authorized official.

NPPES Registry Identity

NPI1043972482

Entity TypeOrganization

Primary Taxonomy332BC3200X

Legal Business NameMERCY MEDICAL PARTNERS NORTHERN REGION SPECIALTY CARE LLC

Location Address1400 E 2ND STDefiance, OH 43512-2440

Mailing AddressPo Box 631336Cincinnati, OH 45263-1336 · (888) 696-3541 · Fax (513) 952-6002

Phone(419) 784-1414

Organization SubpartNo

Authorized OfficialWilbur GayCfo · (864) 605-3762

Enumeration DateOctober 13, 2021

NPPES CertifiedOctober 13, 2021

✔ NPI 1043972482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers

Taxonomy Code332BC3200X

1400 E 2ND ST, Defiance, OH 43512

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0331199

Mercy Medical Partners Northern Region LLC Dba Mercy Defiance Clinic · Defiance, OH

Active · expires Oct 22, 2026

CLIA Number36D0331199

Laboratory TypePhysician Office

Certificate Effective DateOctober 23, 2024

Certificate Expiration DateOctober 22, 2026

Laboratory DirectorTricia Vandehey

Laboratory Phone(419) 783-3238

Laboratory LocationMercy Medical Partners Northern Region LLC Dba Mercy Defiance Clinic1400 E 2nd Street, Defiance, OH 43512

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY FOX M.D.

Family Medicine