MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC (NPI# 1902895964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902895964 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC |
| Other Organization Name | MERCY HEALTH MARCUM & WALLACE HOSPITAL |
| Practice Address |
60 Mercy Ct Irvine KY 40336-1331 |
| Mailing Address |
Po Box 636544 Cincinnati OH 45263-6544 |
| Practice Telephone | 2704442163 |
| Practice Fax Number | 2704442460 |
| Mailing Telephone | 2704442163 |
| Mailing Fax Number | 2704442460 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | MS. TRENA STOCKER (PRESIDENT) |
| Authorized Official Telephone | 8597790148 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | 600052 | KY | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 12700324 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Health Marcum & Wallace Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770734691 | Mercy Health-marcum & Wallace Hospital LLC | Internal Medicine | 60 Mercy Ct, Irvine, KY 40336-1331 | 2008-10-09 |
| 1487643821 | Mercy Health-marcum & Wallace Hospital LLC | Early Intervention Provider Agency | 60 Mercy Ct, Irvine, KY 40336-1331 | 2005-10-18 |
| Street Address |
60 MERCY CT |
| City | IRVINE |
| State | KY |
| Zip Code | 40336-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632109 | Marcum & Wallace Memorial Hospital | General Acute Care Hospital | 60 Mercy Ct, Irvine, KY 40336-1331 | 2005-07-13 |
| 1033661749 | Marcum & Wallace Memorial Hospital | Pharmacy | 60 Mercy Ct, Irvine, KY 40336-1331 | 2016-10-28 |
| 1407235666 | Emergency Medicine Physicians of Estill County,pllc | Physician Assistant | 60 Mercy Ct, Irvine, KY 40336 | 2015-05-21 |
| 1871869198 | Amanda G Miller | Social Worker | 60 Mercy Ct, Irvine, KY 40336-1331 | 2012-03-30 |
| 1639406200 | Laura Ashley Dennis | Dietitian, Registered | 60 Mercy Ct, Irvine, KY 40336-1331 | 2009-11-03 |
| 1770734691 | Mercy Health-marcum & Wallace Hospital LLC | Internal Medicine | 60 Mercy Ct, Irvine, KY 40336-1331 | 2008-10-09 |
| 1982875969 | Marcum & Wallace Memorial Hospital | Clinical Medical Laboratory | 60 Mercy Ct, Irvine, KY 40336-1331 | 2008-03-18 |
| 1508035833 | Lisa Gail Patton | Pharmacist | 60 Mercy Ct, Irvine, KY 40336-1331 | 2008-02-20 |
| 1225238728 | William S. Witt Pllc | Radiology | 60 Mercy Ct, Irvine, KY 40336-1331 | 2007-07-23 |
| 1356545099 | William S. Witt, Pllc | Radiology | 60 Mercy Ct, Marcum & Wallace Hospital, Irvine, KY 40336-1331 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949848 | Belinda Sue Gadd | Technician | 988 Reges Rd., Irvine, KY 40336 | 2020-07-20 |
| 1790076156 | Jan Andrea Brandenburg | Pharmacist | 110 Richmond Road, Irvine, KY 40336 | 2011-04-20 |
| 1427283647 | Health Help Incorporated | Clinic/Center | 30 Stacy Lane Road, Irvine, KY 40336 | 2009-05-18 |
| 1003037375 | Bluegrass Cardiology Psc | Internal Medicine | 60 Mercy Court, Irvine, KY 40336 | 2007-05-02 |
| 1770705873 | Herbert W Long | Clinic/Center | 417 River Drive, Irvine, KY 40336 | 2007-05-02 |
| 1255478053 | Lisa M Ford | Dentist | 161 Richmond Rd, Irvine, KY 40336 | 2007-01-31 |
| 1750468047 | Jason W Gay | Dentist | 10 River Drive, Irvine, KY 40336 | 2006-11-01 |
| 1184718702 | Lawrence Edward Griesinger IIi | Psychologist | 100 Tyler Lane, Irvine, KY 40336 | 2006-10-03 |
| 1013198753 | Kristy Lee Bledsoe | Dietitian, Registered | 365 River Drive, Irvine, KY 40336-0115 | 2007-11-23 |
| 1043496813 | Amy M Pendleton | Nurse Practitioner | 365 River Drive, Irvine, KY 40336-0115 | 2008-01-11 |
| Find all providers in zip 40336 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164578662 | Emhfl, Inc | Medicare Defined Swing Bed Unit | 124 Portman Ave, Stanford, KY 40484-1230 | 2007-01-26 |
| 1285296848 | Arh Tug Valley Health Services, Inc. | Medicare Defined Swing Bed Unit | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2019-07-03 |
| 1275192015 | Pineville Community Health Center Inc | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2019-06-06 |
| 1902360175 | Crittenden Community Hospital LLC | Medicare Defined Swing Bed Unit | 520 W Gum St, Marion, KY 42064-1516 | 2019-01-22 |
| 1710470828 | Arh Mary Breckinridge Health Services, Inc. | Medicare Defined Swing Bed Unit | 11203 Main St, Martin, KY 41649-7999 | 2018-06-13 |
| 1629568126 | Pineville Medical Center, LLC | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2018-05-10 |
| 1326590852 | St Elizabeth Medical Center Inc | Medicare Defined Swing Bed Unit | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2016-11-01 |
| 1861843401 | Pineville Community Hospital Association, Inc. | Medicare Defined Swing Bed Unit | 850 Riverview Ave, Pineville, KY 40977-1452 | 2016-06-24 |
| 1730547407 | T J Health Columbia Inc | Medicare Defined Swing Bed Unit | 901 Westlake Dr, Columbia, KY 42728-1123 | 2016-02-09 |
| 1710352935 | Bowling Green Warren County Community Hospital Corporation | Medicare Defined Swing Bed Unit | 1501 S Dixie St, Horse Cave, KY 42749-1480 | 2015-12-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MERCY HEALTH-MARCUM & WALLACE HOSPITAL LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.