Organization Active NPI

Mercy Health-Lourdes Hospital LLC

  • Clinical Medical Laboratory
  • Paducah, KY
National Provider Identifier
1154592137
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MERCY HEALTH-LOURDES HOSPITAL LLC
Practice address
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone
(270) 444-2163
Fax
(270) 444-2460
NPI assigned
Mar 18, 2008
Organization subpart
Yes
Parent organization
MERCY HEALTH PARNTERS LOURDES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John F Dempsey, BS MBA FHFMA
Title
Cfo
Phone
(270) 444-2553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X KY Primary

Addresses

Primary practice location

1530 Lone Oak Rd
Paducah, KY 42003-7901

Mailing address

PO Box 7100
Paducah, KY 42002-7100
Phone (270) 444-2163

Other identifiers 1

IdentifierTypeStateIssuer
000000061953OtherKYBLUE CROSS REFERENCE LAB

Other names 1

  • Lourdes Reference Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Medicine Assocai7 organizations share this tax ID, including this one
Part of
Family Medicine Assocai

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1154592137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7100",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027100",
            "telephone_number": "270-444-2163",
            "fax_number": "270-444-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037901",
            "telephone_number": "270-444-2163",
            "fax_number": "270-444-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-LOURDES HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARNTERS LOURDES INC",
        "enumeration_date": "2008-03-18",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "270-444-2553",
        "authorized_official_credential": "BS MBA FHFMA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS REFERENCE LAB",
            "identifier": "000000061953",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lourdes Reference Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lourdes Reference Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.