Organization
MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC
Active
Parent organization
MERCY HEALTH MARCUM & WALLACE MEMORIAL HOSPITAL
Other names
Marcum & Wallace Memorial Hospital Ref Lab
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HEALTH MARCUM & WALLACE MEMORIAL HOSPITAL
Authorized official
KIMBERLY M RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
60 MERCY CT, IRVINE, KY 40336-1331
(270) 444-2163
(270) 444-2460
Mailing address
PO BOX 931280, CLEVELAND, OH 44193-1492
(270) 444-2163
(270) 444-2460
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000200419
BLUE CROSS REFERENCE LAB
KY
Enumeration date
03/18/2008
Last updated
01/26/2022
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