MERCY HEALTH CLINICS LLC NPI 1811132525

NPI Information

NPI: 1811132525
Provider Name: MERCY HEALTH CLINICS, LLC

Doing Business As: MERCY HEALTH IRVIN PRIMARY CARE

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1100 RICHMOND ROAD
IRVINE, KY
ZIP 40336
Phone: (606) 723-7706
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MERCY HEALTH CLINICS, LLC is a rural health clinic center in Irvine, KY. MERCY HEALTH CLINICS, LLC NPI is 1811132525. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Health Irvin Primary Care.

The provider's business location address is:

1100 RICHMOND ROAD
IRVINE, KY
ZIP 40336-231
Phone: (606) 723-7706
Fax: (606) 726-9410

The provider's authorized official is Trena Lynn Stocker .
The authorized official title is President and has the following contact phone number (859) 779-0148.

The enumeration date for this NPI number is 12/9/2008 and was last updated on 5/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	900224	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DQ5374	OTHER	KENTUCKY	RAILROAD MEDICARE
2	000000652248	OTHER	KENTUCKY	ANTHEM
3	7100132150	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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