Organization
MERCY HEALTH CLINICS, LLC
Active
Parent organization
MARCUM AND WALLACE MEMORIAL HOSPITAL
Other names
Mercy Health Irvin Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARCUM AND WALLACE MEMORIAL HOSPITAL
Authorized official
CASSIE LOWE (SYSTEM DIRECTOR, PAYER DELEGATION &)
(513) 952-5210
Entity
Organization
Contact information
Practice address
1100 RICHMOND ROAD, IRVINE, KY 40336-7231
(606) 723-7706
(606) 726-9410
Mailing address
4600 MCAULEY PL STE 600, BLUE ASH, OH 45242-4778
(513) 981-5098
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900224
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000652248
ANTHEM
KY
05
—
7100132150
—
KY
01
—
DQ5374
RAILROAD MEDICARE
KY
Enumeration date
12/09/2008
Last updated
03/11/2026
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