Organization
MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC
Active
Other names
Marcum & Wallace Memorial Hospital, Inc., Mercy Health Marcum and Wallace Hospital
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
(270) 444-2163
(270) 444-2460
Mailing address
PO BOX 636544, CINCINNATI, OH 45263-6544
(270) 444-2163
(270) 444-2460
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
01002526
KY
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01002526
—
KY
Enumeration date
10/18/2005
Last updated
03/02/2021
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