Organization
MERCY HEALTH CLINICS,LLC
Active
Parent organization
MARCUM AND WALLACE MEMORIAL HOSPITAL
Other names
Mercy Health Clinic II
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARCUM AND WALLACE MEMORIAL HOSPITAL
Authorized official
MS. TRENA LYNN STOCKER (PRESIDENT)
(859) 779-0148
Entity
Organization
Contact information
Practice address
105 MAIN ST, IRVINE, KY 40336-1023
(606) 723-7771
(606) 723-4364
Mailing address
PO BOX 636493, CINCINNATI, OH 45263-6493
(513) 981-5098
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100132150-RHC
—
KY
Enumeration date
07/22/2009
Last updated
05/02/2019
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