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Contact Information

MERCER CTY HOSPITAL
409 N.W. 9TH AVE
OUTPATIENT PHARMACY
ALEDO, IL61231
 Phone: 309-582-3710
 Fax: 309-582-3737
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MERCER CTY HOSPITAL

NPI # 1912091745
LBN Legal business name MERCER CTY HOSPITAL
Authorized official TIM PUTNAM - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 07/08/2008 - About 18 years ago
Identifiers
IL License # 093013445
IL Other 1452755 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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