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MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC NPI 1063085421


NPI Information

NPI: 1063085421
Provider Name: MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
225 MEDICAL CENTER DR STE 202
PADUCAH, KY
ZIP 42003
Phone: (270) 441-4510
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MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC is a multi-specialty clinic center in Paducah, KY. MERCY HEALTH PHYSICIANS KENTUCKY SPECIALTY CARE LLC NPI is 1063085421. The provider is registered as an organization entity type.

The provider's business location address is:

225 MEDICAL CENTER DR STE 202
PADUCAH, KY
ZIP 42003-907
Phone: (270) 441-4510
Fax: (270) 441-4512

The provider's authorized official is Joseph Hardy .
The authorized official title is Cfo, Medical Group and has the following contact phone number (513) 869-5016.

The enumeration date for this NPI number is 7/22/2021 and was last updated on 7/22/2021.


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
1261QM1300XClinic/CenterMulti-SpecialtyYes

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

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