National Provider Identifier Database

MERCY HEALTH LOURDES HOSPITAL LLC
Hospice Care, Community Based


Contact Information

MERCY HEALTH-LOURDES HOSPITAL LLC
704 E 5TH ST STE 5
METROPOLIS, IL62960
Phone: 618-524-3647
Fax: 270-444-2379
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for MERCY HEALTH-LOURDES HOSPITAL LLC

NPI Number 1669452033
Legal business name
LBN
MERCY HEALTH-LOURDES HOSPITAL LLC
Authorized official KIMBERLY RALSTON - (SYSTEM DIRECTOR PAYOR ADMIN)
Entity Organization
Organization subpart No
Enumeration date 01/20/2006
Last updated 12/12/2022 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 2001139

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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