MERCY HEALTH CLINICS, LLC (NPI# 1811132525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811132525 |
| Entity Type | Organization |
| Organization Name | MERCY HEALTH CLINICS, LLC |
| Other Organization Name | MERCY HEALTH IRVIN PRIMARY CARE |
| Practice Address |
1100 Richmond Road Irvine KY 40336-7231 |
| Mailing Address |
Po Box 636493 Cincinnati OH 45263-6493 |
| Practice Telephone | 6067237706 |
| Practice Fax Number | 6067269410 |
| Mailing Telephone | 5139815098 |
| Mailing Fax Number | 5139815015 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | MS. TRENA LYNN STOCKER (PRESIDENT) |
| Authorized Official Telephone | 8597790148 |
| Is Organization Subpart | Y |
| Parent Organization Name | MARCUM AND WALLACE MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
900224 | KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | RAILROAD MEDICARE | DQ5374 | 01 |
| KY | ANTHEM | 000000652248 | 01 |
| KY | 7100132150 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Health Irvin Primary Care | Doing Business As Name - Organization |
| Mercy Primary Care - Irvine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386921948 | Mercy Health Clinics, LLC | Clinic/Center | 749 Irvine Rd, Clay City, KY 40312-9732 | 2011-11-10 |
| 1609151471 | Mercy Health Clinics, LLC | Clinic/Center | 1025 Grand Ave, Beattyville, KY 41311-0000 | 2011-10-12 |
| Street Address |
1100 RICHMOND ROAD |
| City | IRVINE |
| State | KY |
| Zip Code | 40336-7231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619923117 | Mark Rukavina | Emergency Medicine | 1100 Richmond Road, Irvine, KY 40336-0524 | 2006-05-26 |
| 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 |
| 1407235666 | Emergency Medicine Physicians of Estill County,pllc | Physician Assistant | 60 Mercy Ct, Irvine, KY 40336 | 2015-05-21 |
| 1013198753 | Kristy Lee Bledsoe | Dietitian, Registered | 365 River Drive, Irvine, KY 40336-0115 | 2007-11-23 |
| Find all providers in zip 40336 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770705873 | Herbert W Long | Clinic/Center | 417 River Drive, Irvine, KY 40336 | 2007-05-02 |
| 1063838456 | Kentucky One Health Medical Group, Inc. | Clinic/Center | 417 River Dr, Irvine, KY 40336-1272 | 2014-03-10 |
| 1215167432 | Mercy Health Clinics,llc | Clinic/Center | 105 Main St, Irvine, KY 40336-1023 | 2009-07-22 |
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| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1649881335 | Emerald Therapy Center, LLC | Clinic/Center | 111 Poplar St, Murray, KY 42071-2571 | 2020-08-14 |
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1154950699 | Family Health Care Associates 6 Limited Liability Company | Clinic/Center | 8070 Us Highway 60 W, Lewisport, KY 42351-7087 | 2020-04-06 |
| 1568098838 | Appalachian Regional Healthcare, Inc | Clinic/Center | 186 Breanna Blvd, Suite 100, Salyersville, KY 41465-7525 | 2020-03-19 |
| 1780217794 | Family Health Care Associates 5 Limited Liability Company | Clinic/Center | 74 H&b Partin Lane, Pineville, KY 40977 | 2020-02-18 |
| 1023649514 | Memorial Hospital Inc | Clinic/Center | 485 Memorial Dr Ste 1, Manchester, KY 40962-9111 | 2020-02-03 |
| 1265072946 | Baptist Health Medical Group Inc | Clinic/Center | 800 Hospital Dr Fl 2, Madisonville, KY 42431-1658 | 2020-01-10 |
| Find all providers with the same taxonomy | ||||
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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.