Organization
MERCY HEALTH-LOURDES HOSPITAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL YUNGMANN (CEO)
(270) 444-2491
Entity
Organization
Contact information
Practice address
1530 LONE OAK RD, PADUCAH, KY 42003-7901
(270) 444-2163
(270) 444-2460
Mailing address
PO BOX 636545, CINCINNATI, OH 45263-6545
(270) 444-2163
(270) 444-2460
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
100304
KY
367500000X
Certified Registered Nurse Anesthetist
20A
KY
367500000X
Certified Registered Nurse Anesthetist
2489A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01012152
—
KY
Enumeration date
06/09/2005
Last updated
03/02/2021
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