Organization
MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRENA LYNN STOCKER (PRESIDENT)
(859) 779-0148
Entity
Organization
Contact information
Practice address
60 MERCY CT, IRVINE, KY 40336-1331
(606) 723-2115
(606) 723-2951
Mailing address
60 MERCY CT, IRVINE, KY 40336-1331
(606) 723-2115
(606) 723-2951
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01002526
—
KY
Enumeration date
07/13/2005
Last updated
07/21/2022
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