# MERCY HEALTH-LOURDES HOSPITAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERCY HEALTH PARTNERS - LOURDES INC
- **Other names:** Lourdes Physician Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356519508
- **Legal business name:** MERCY HEALTH PARTNERS - LOURDES INC
- **Authorized official:** ROBYN B. DUNCAN (CREDENTIALING AGENT.)
- **Authorized official phone:** (270) 442-6161

## Contact information

- **Practice address:** 1530 LONE OAK RD., SUITE 345, PADUCAH, KY 42003
- **Practice address phone:** (270) 442-6161
- **Practice address fax:** (270) 442-6294
- **Mailing address:** 1530 LONE OAK RD., PADUCAH, KY 42001
- **Mailing address phone:** (270) 538-5663
- **Mailing address fax:** (270) 442-6294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 01/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 65927394 | — | KY |