MERCY REGIONAL HEALTH SYSTEMS; NPI #1518997469

Contact Information

MERCY REGIONAL HEALTH SYSTEMS

205 BAILEY LN
BENTON, IL 62812-1921

Phone: 618-439-9400
Fax: 618-439-7138
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulance	341600000X	59	Ambulance Service Provider
Bus	347B00000X
Land Transport	3416L0300X	59	Ambulance Service Provider
Non-emergency Medical Transport (VAN)	343900000X
Private Vehicle	347C00000X
Secured Medical Transport (VAN)	343800000X
Taxi	344600000X

Indicates primary specialty

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NPI Profile & details for MERCY REGIONAL HEALTH SYSTEMS

NPI Number 1518997469

LBN Legal business name MERCY REGIONAL HEALTH SYSTEMS

Authorized official CLAYTON HOBBS - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/04/2006

Last updated 04/20/2008 - About 18 years ago

Identifiers

IL	License #	6567
IL	Other	0002529972	BCBS

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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