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MERCY REGIONAL HEALTH SYSTEMS NPI 1518997469


NPI Information

NPI: 1518997469
Provider Name: MERCY REGIONAL HEALTH SYSTEMS

Doing Business As: MERCY REGIONAL EMERGENCY HEALTH SERVICES

Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
205 BAILEY LN
BENTON, IL
ZIP 62812
Phone: (618) 439-9400
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MERCY REGIONAL HEALTH SYSTEMS is an ambulance in Benton, IL. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). MERCY REGIONAL HEALTH SYSTEMS NPI is 1518997469. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Regional Emergency Health Services.

The provider's business location address is:

205 BAILEY LN
BENTON, IL
ZIP 62812-921
Phone: (618) 439-9400
Fax: (618) 439-7138

The provider's authorized official is Clayton Wheeler Hobbs .
The authorized official title is Chief Executive Officer and has the following contact phone number (618) 439-9400.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport6567ILLINOISNo
2343800000XSecured Medical Transport (VAN)No
3343900000XNon-emergency Medical Transport (VAN)No
4344600000XTaxiNo
5347B00000XBusILLINOISNo
6347C00000XPrivate VehicleNo
7341600000XAmbulance6567ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========001MEDICAIDILLINOIS
20002529972OTHERILLINOISBCBS
3623590MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.