Organization
MERCY REGIONAL HEALTH SYSTEMS
Active
Other names
Mercy Regional Emergency Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYTON WHEELER HOBBS PARAMEDIC (CHIEF EXECUTIVE OFFICER)
(618) 439-9400
Entity
Organization
Contact information
Practice address
205 BAILEY LN, BENTON, IL 62812-1921
(618) 439-9400
(618) 439-7138
Mailing address
205 BAILEY LN, P O BOX 337, BENTON, IL 62812-1921
(618) 439-9400
(618) 439-7138
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
6567
IL
3416L0300X
Land Ambulance
6567
IL
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
—
—
347B00000X
Bus
—
IL
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002529972
BCBS
IL
Enumeration date
07/04/2006
Last updated
04/20/2008
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