Organization
MERCY HEALTH-LOURDES HOSPITAL LLC
Active
Parent organization
MERCY HEALTH PARTNERS - LOURDES INC
Other names
Lourdes Physician Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH PARTNERS - LOURDES INC
Authorized official
ROBYN B. DUNCAN (CREDENTIALING AGENT.)
(270) 442-6161
Entity
Organization
Contact information
Practice address
1530 LONE OAK RD., SUITE 345, PADUCAH, KY 42003
(270) 442-6161
(270) 442-6294
Mailing address
1530 LONE OAK RD., PADUCAH, KY 42001
(270) 538-5663
(270) 442-6294
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65927394
—
KY
Enumeration date
02/11/2008
Last updated
01/26/2022
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