Organization
MERCY HEALTH-LOURDES HOSPITAL LLC
Active
Other names
MERCY HEALTH - MARSHALL FAMILY MEDICINE, INTERNAL MEDICINE & PEDIATRIC
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (VICE PRESIDENT REIMBURSEMENT)
(419) 996-5119
Entity
Organization
Contact information
Practice address
83 WELLNESS WAY FL 2, BENTON, KY 42025-7156
(270) 527-0045
Mailing address
PO BOX 632133, CINCINNATI, OH 45263-2133
(270) 527-0045
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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