# COUNTY OF MERCER HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COUNTY OF MERCER HOSPITAL
- **Other names:** Medical Associates Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215961818
- **Legal business name:** COUNTY OF MERCER HOSPITAL
- **Authorized official:** TED ROGALSKI (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (309) 582-3700

## Contact information

- **Practice address:** 1007 NW 3RD ST, ALEDO, IL 61231-1296
- **Practice address phone:** (309) 582-3700
- **Practice address fax:** (309) 582-3737
- **Mailing address:** 1007 NW 3RD ST, ALEDO, IL 61231-1296
- **Mailing address phone:** (309) 582-3700
- **Mailing address fax:** (309) 582-3737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 02/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0006632002 | BLUE CROSS OF IL | IL |
| 01 | — | 210481 | MEDICARE B | — |
| 01 | — | 825050 | MEDICARE B | IL |