MARCUM & WALLACE MEMORIAL HOSPITAL (NPI# 1285632109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285632109 |
Entity Type | Organization |
Organization Name | MARCUM & WALLACE MEMORIAL HOSPITAL |
Practice Address |
60 Mercy Ct Irvine KY 40336-1331 |
Practice Telephone | 6067232115 |
Practice Fax Number | 6067232951 |
Mailing Telephone | 6067232115 |
Mailing Fax Number | 6067232951 |
Enumeration Date | 2005-07-13 |
Last Update Date | 2019-05-02 |
Authorized Official Name | MS. TRENA LYNN STOCKER (PRESIDENT) |
Authorized Official Telephone | 8597790148 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
========= | KY | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 01002526 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033661749 | Marcum & Wallace Memorial Hospital | Pharmacy | 60 Mercy Ct, Irvine, KY 40336-1331 | 2016-10-28 |
1982875969 | Marcum & Wallace Memorial Hospital | Clinical Medical Laboratory | 60 Mercy Ct, Irvine, KY 40336-1331 | 2008-03-18 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MARCUM & WALLACE MEMORIAL HOSPITAL | 60 Mercy Ct, Irvine, KY 40336-1331 |
Street Address |
60 MERCY CT |
City | IRVINE |
State | KY |
Zip Code | 40336-1331 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1760569123 | Commonwealth Urology, Psc | Specialist | 60 Mercy Ct, Irvine, KY 40336-1331 | 2006-11-01 |
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 | 282NC0060X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Critical Access |
Definition to come. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689977415 | Robley Rex Veterans Affairs Medical Center (vamc) | General Acute Care Hospital | 2853 Regan Ave, Louisville, KY 40206-1329 | 2010-12-16 |
1407049877 | Wellmont Health System | General Acute Care Hospital | 9480 Hwy 805, Jenkins, KY 41537-0472 | 2007-08-20 |
1225161524 | Jane Todd Crawford Memorial Hospital Inc. | General Acute Care Hospital | 202-206 Milby St, Greensburg, KY 42743-1136 | 2007-03-14 |
1417035668 | David Shane Rice | General Acute Care Hospital | 313 Esto Hts, Russell Springs, KY 42642-6941 | 2006-11-02 |
1629007430 | Ohio County Hospital Corporation | General Acute Care Hospital | 1211 Old Main St, Hartford, KY 42347-1619 | 2006-07-02 |
1841233640 | University of Kentucky | General Acute Care Hospital | Ms101 Ukmc 800 Rose Street, Lexington, KY 40536-0001 | 2006-06-13 |
1013954437 | Russell County Hospital | General Acute Care Hospital | 153 Dowell Rd, Russell Springs, KY 42642-4579 | 2006-06-02 |
1114974813 | St Elizabeth Medical Center, Inc | General Acute Care Hospital | 238 Barnes Rd, Williamstown, KY 41097-9482 | 2006-05-28 |
1902862824 | The James B. Haggin Memorial Hospital Inc | General Acute Care Hospital | 464 Linden Ave, Harrodsburg, KY 40330-1882 | 2006-04-21 |
1174511620 | Methodist Health, Inc. | General Acute Care Hospital | 4604 Us Highway 60 W, Morganfield, KY 42437-6515 | 2005-10-10 |
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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.