Organization
MERCY HARVARD HOSPITAL INC
Active
Parent organization
MERCYHEALTH CORPORATION
Other names
MERCY HARVARD CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCYHEALTH CORPORATION
Authorized official
SHANNON DUNPHY-ALEXANDER (CFO)
(608) 757-3126
Entity
Organization
Contact information
Practice address
901 GRANT ST, HARVARD, IL 60033-1821
(815) 943-2967
Mailing address
901 GRANT ST, P O BOX 850, HARVARD, IL 60033-1821
(815) 943-2967
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0004911
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004911
IDPH
IL
01
—
0005632028
BCBSIL
IL
Enumeration date
11/29/2006
Last updated
12/27/2024
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