Verification Lookup Portal
Providers for Bon Secours Mercy Health, Inc.
Bon Secours Memorial Regional Medical Center
Bon Secours Richmond Community Hospital
Bon Secours St Francis Medical Center
Bon Secours St Mary's Hospital
BSMH Ambulatory Ventures II LLC- Mercy Health - Canfield Surgery Center
DePaul Medical Center
Harbour View Medical Center LLC
Lourdes Hospital
Lourdes Outpatient Surgery Center
Mary Immaculate Hospital
Maryview Medical Center
Mercy Health - Allen Hospital LLC
Mercy Health - Anderson Hospital
Mercy Health - Clermont Hospital
Mercy Health - Defiance Hospital
Mercy Health - Fairfield Hospital
Mercy Health - Kings Mills Hospital
Mercy Health - Marcum and Wallace Hospital LLC
Mercy Health - Perrysburg Hospital
Mercy Health - Regional Medical Center LLC
Mercy Health - Springfield Regional Medical Center
Mercy Health - St. Anne Hospital
Mercy Health - St. Charles Hospital
Mercy Health - St. Rita's Medical Center LLC
Mercy Health - St. Vincent Medical Center
Mercy Health - Tiffin Hospital LLC
Mercy Health - Urbana Hospital
Mercy Health - West Hospital
Mercy Health - Willard Hospital LLC
Mercy Health Youngstown LLC - St. Elizabeth Boardman Hospital
Mercy Health Youngstown LLC - St. Elizabeth Youngstown Hospital
Mercy Health Youngstown LLC - St. Joseph Warren Hospital
Rappahannock General Hospital
Southampton Medical Center
Southern Virginia Medical Center
Southside Medical Center
St Francis Hospital
The Jewish Hospital
West Central Ohio Group Ltd - Institute for Orthopaedic Surgery
-- All Facilities --
Provider Last Name
Last name is required.
Provider First Name
_
Provider Birthdate
Birthdate is required.
Please provide a valid Date.
Provider NPI
_
NPI number is invalid. Must be a ten-digit number.
Required Information
_
_
_
_
_
_
_
Requester Name
Name is required.
Requester Title
Title is required.
Requester Organization
Organization is required.
Requester Address
_
Requester City, State, Zip
_
Requester Phone
_
Requester Fax
_
Requester Email
_
I agree and acknowledge that I possess a signed release and immunity statement signed by the practitioner for which I am obtaining hospital verification information. Such signed release and immunity holds harmless and indemnifies Bon Secours Mercy Health and individuals providing information pursuant to this request, its medical staff, board of directors and each of their respective members and designees, the administration of such Bon Secours Mercy Health and its directors, officers, employees, representatives and agents, and each of them from any and all claims, demands or actions with respect to all acts, including without limitation, communications, reports, recommendations, or disclosures performed or made in connection with the request for the release of information pertaining to the practitioner's hospital affiliation with Bon Secours Mercy Health.
Search
Provider Search
Please Enter the Following Information:
Provider Last Name
Provider First Name
Provider Birthdate
Provider NPI
Requester Name
Requester Title
Requester Organization
Requester Address
Requester City, State, Zip
Requester Phone
Requester Fax
Requester Email