Mercy Health-Lourdes Hospital LLC

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

MERCY HEALTH-LOURDES HOSPITAL LLC

Doing business as

Lourdes Hospital
Lourdes Hospital Psychiatric Unit

Practice address

1530 Lone Oak Rd
Paducah, KY 42003-7901

Phone

(270) 538-7021

NPI assigned

Oct 30, 2014

Last updated

Mar 2, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY HEALTH PARTNERS LOURDES INCAs reported in NPPES

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

Authorized official

Name

Mr. Michael Yungmann

Title

Region Ceo & SVP Ky

Phone

(270) 444-2491

Specialties & licenses 1

Addresses

Other names 2

• LOURDES HOSPITAL Doing business as
• Lourdes Hospital Psychiatric Unit Doing business as

Electronic endpoints 1

Part of

Christy Wilson NS Pra C

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1770988917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037901",
            "telephone_number": "270-538-7021"
        },
        {
            "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": "270-538-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-LOURDES HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS LOURDES INC",
        "enumeration_date": "2014-10-30",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "YUNGMANN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "REGION CEO & SVP KY",
        "authorized_official_telephone_number": "270-444-2491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://172.254.9.13:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.1",
            "affiliationName": "BLUEMARK",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "40 Sunset Ridge Rd Ste 120",
            "city": "New Paltz",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125611039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LOURDES HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lourdes Hospital Psychiatric Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Health-Lourdes Hospital LLC (Lourdes Physician Services)
• Mercy Health-Lourdes Hospital LLC (Lourdes - Rehab)
• Mercy Health-Lourdes Hospital LLC (Mercy Health-Hospice, Paducah)
• Mercy Health-Lourdes Hospital LLC (Harness Health Pharmacy)
• Mercy Health-Lourdes Hospital LLC (Lourdes Inc - Skilled Nursing)
• Mercy Health-Lourdes Hospital LLC (Mercy Health Home Care Paducah)
• Mercy Health-Lourdes Hospital LLC
• Mercy Regional Emergency Medical System LLC
• Joshua Simon Meredith, MD
• Lisa Meredith

• Psychiatric Hospital Unit in Paducah, KY
• Providers in Paducah, KY by specialty
• Psychiatric Hospital Unit in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.