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Organization

MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC

Active
Other names
Mercy Health Marcum & Wallace Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRENA 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
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
600052
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12700324
KY
Enumeration date
10/20/2005
Last updated
05/02/2019
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