| Mercy Health-lourdes Hospital Llc | |
|
83 Wellness Way Fl 2 Benton KY 42025-7156 | |
| (270) 527-0045 | |
| Not Available |
| Full Name | Mercy Health-lourdes Hospital Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 83 Wellness Way Fl 2, Benton, Kentucky |
| Authorized Official Name and Position | Kimberly M Ralston (VICE PRESIDENT REIMBURSEMENT) |
| Authorized Official Contact | 4199965119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health-lourdes Hospital Llc Po Box 632133 Cincinnati OH 45263-2133 Ph: (270) 527-0045 | Mercy Health-lourdes Hospital Llc 83 Wellness Way Fl 2 Benton KY 42025-7156 Ph: (270) 527-0045 |
| NPI Number | 1629852678 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/22/2023 |
| Medicare PECOS PAC ID | 7315831666 |
|---|---|
| Medicare Enrollment ID | O20231102002741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629852678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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