Mercy Health-Lourdes Hospital LLC
Organization Active NPI Community/Retail Pharmacy · Paducah, KY
NPI 1700214558 · NPPES record last updated May 30, 2026
Key facts
- NPI
- 1700214558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- P06795 (KY)
- Legal business name
- MERCY HEALTH-LOURDES HOSPITAL LLC
- Practice address
- 225 Medical Center Dr Ste 100
Paducah, KY 42003-7934 - Phone
- (270) 444-2233
- Fax
- (270) 444-2388
- NPI assigned
- Oct 14, 2013
- Organization subpart
- No
Authorized official
- Name
- Kimberly Ralston
- Title
- VP Reimbursement
- Phone
- (419) 996-5119
Owned or controlled facilities with NPI records 4
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 6
Practitioners 22
-
Austin Beck, MD
-
Kimberly E Bradley, APRN
-
Deborah Lynn Bray, APRN
-
Willard Jason Fiessinger, APRN
-
Emily A Flowers, APRN
-
Brittany A Hunter, APRN
-
Catherine N Jones, APRN
-
Staci W Kell, APRN
-
Maegan M Moryl, APRN
-
Kasey A Murphy, APRN
-
Rachel Faye Gardiner, APRN
-
Cady Knight, APRN
-
Tammie Jones, RN
-
Kyli W Koenigsmark, A.R.N.P.
-
Rita L McIntosh, PA-C
-
Timothy J Ranval, MD
-
William S Hiltz, M.D.
-
Linda M Rivera, NURSE PRACTIONER
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mercy Health-Lourdes Hospital LLC |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Mercy Health-Marcum and Wallace Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 13, 2000 |
| Mercy Health-Marcum & Wallace Hospital LLC |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 13, 2000 |
| Mercy Health - Irvine Primary Care |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Jul 1, 2010 |
| Mercy Health - Powell County Primary Care |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Sep 1, 2012 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231026002911 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315831666 | Practice locations: Paducah, KY |
| O20240729001670 | KY | DME Supplier - Pharmacy | 7315831666 | Practice locations: Paducah, KY |
National Provider Directory
- Tax ID family
- Family Medicine Assocai
Locations
704 E 5th St
Ste 5
Metropolis, IL 62960
Phone (618) 524-3647
83 Wellness Way
Ste 101
Benton, KY 42025
Phone (270) 527-0045
83 Wellness Way
Ste 4
Benton, KY 42025
Phone (270) 538-7263
83 Wellness Way
Ste 6
Benton, KY 42025
Phone (270) 538-6803
225 W Water St
#1
Mayfield, KY 42066
Phone (270) 247-3047
2415 S 25th St
Paducah, KY 42003
Phone (270) 443-2370
1532 Lone Oak Rd
Ste 210
Paducah, KY 42003
Phone (270) 444-2175
225 Medical Center Dr
Ste 103
Paducah, KY 42003
Phone (270) 441-4100
225 Medical Center Dr
Ste 102
Paducah, KY 42003
Phone (270) 441-4100
550 Lone Oak Rd
Paducah, KY 42003
Phone (270) 538-5662
1532 Lone Oak Rd
Ste 130
Paducah, KY 42003
Phone (270) 444-2177
1532 Lone Oak Rd
Ste 230
Paducah, KY 42003
Phone (270) 442-9463
1530 Lone Oak Rd
Fl 4
Paducah, KY 42003
1532 Lone Oak Rd
Ste 415
Paducah, KY 42003
1528 Lone Oak Rd
Ste 100
Paducah, KY 42003
Phone (270) 444-2850
1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830
225 Medical Center Dr
Ste 100
Paducah, KY 42003
Phone (270) 444-2233
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | P06795 | KY | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
225 Medical Center Dr Ste 100
Paducah, KY 42003-7934
Mailing address
PO Box 639922
Cincinnati, OH 45263-9922
Phone (270) 444-2233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2142445 | Other | PK | |
| 7100277080 | Medicaid | KY |
Other names
- Harness Health Pharmacy
- Harness Health Pharmacy #200
Other providers in Paducah, KY
- Mercy Health-Lourdes Hospital LLC
- Mercy Health-Lourdes Hospital LLC
- Mercy Health-Lourdes Hospital LLC
- Mercy Health-Lourdes Hospital LLC
- Mercy Health-Lourdes Hospital LLC
- Mercy Health-Lourdes Hospital LLC
- Mercy Health-Lourdes Hospital LLC
- Mercy Health-Lourdes Hospital LLC
- Mercy Health-Lourdes Hospital LLC
- Mercy Regional Emergency Medical System LLC
All providers in Paducah, KY · Community/Retail Pharmacy in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.