Organization
MERCY HARVARD HOSPITAL INC
Active
Organization
MERCY HARVARD HOSPITAL INC
Active
Parent organization
MERCYHEALTH CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCYHEALTH CORPORATION
Authorized official
JOSEPH D MALAS (CFO)
(815) 971-6738
Entity
Organization
Contact information
Practice address
901 GRANT ST, HARVARD, IL 60033-1821
(815) 943-5431
(815) 943-2726
Mailing address
901 GRANT ST, HARVARD, IL 60033-1821
(815) 943-5431
(815) 943-2726
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4911
IL
261QP2000X
Physical Therapy Clinic/Center
4911
IL
282NC0060X
Critical Access Hospital
Primary
0004911
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00196
BCBSIL
IL
05
—
11002000
—
WI
Enumeration date
05/19/2006
Last updated
06/11/2025
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