NPIMap

Organization Active NPI

Mercy Hospital Lincoln

  • Medicare Defined Swing Bed Hospital Unit
  • Troy, MO
National Provider Identifier
1922404284
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
MERCY HOSPITAL LINCOLN
Practice address
1000 E Cherry St
Troy, MO 63379-1513
Phone
(636) 528-8551
NPI assigned
Nov 14, 2014
Last updated
Sep 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Authorized official

Name
Mr. Mark Thorn
Title
Executive Director Finance
Phone
(636) 528-3329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

1000 E Cherry St
Troy, MO 63379-1513

Mailing address

1000 E Cherry St
Troy, MO 63379-1513
Phone (636) 528-8551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150218000306 MO Part A Provider - Critical Access Hospital 5193040020 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922404284. Details of each certification follow.

Hospital certification: CCN 26Z319

Legal name
MERCY HOSPITAL LINCOLN
Doing business as
MERCY HOSPITAL LINCOLN
Organization structure
CorporationNon-profit
Enrollment address
1000 E Cherry St
Troy, MO 63379-1513
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital Lincoln10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Suzette Morris Individual Corporate DirectorBoard Member Apr 25, 2025
Jamie Wilke Individual Corporate OfficerSecretary Jul 1, 2024
Mercy Hospitals East Communities Organization, Saint Louis, MO Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 1, 2015 100%
Claudia Ward Individual Corporate Director Jul 1, 2021
Annette S Meyer Individual Corporate DirectorBoard Member Jul 1, 2022
Sarah Burkemper Individual Corporate DirectorBoard Member Jul 1, 2021
Mark a Thorn Individual Corporate OfficerTreasurer Jun 1, 2020
W-2 Managing EmployeeExecutive Director Finance Mar 1, 2015
John Barry Kelly Individual Corporate Director Jul 1, 2021
Anthony Rothermich Individual Corporate OfficerPresident Mar 1, 2015
Timothy L Reller Individual Corporate DirectorBoard Member Jul 1, 2020
Bradley J Massey Individual Corporate DirectorBoard Member Jul 1, 2020
Stacie Farnam Individual W-2 Managing EmployeeDirector Jul 8, 2022
Mercy Health Organization, Chesterfield, MO Corporation, Non-profit, Chain home office Operational/Managerial Control Mar 2, 2015 100%
David J Meiners Individual Corporate DirectorBoard Member Jul 1, 2022
Harvey D Rhoads Individual Corporate DirectorBoard Member Nov 19, 2019
Mark Penny Individual Corporate DirectorBoard Member Jul 1, 2020
Mercy Health East Communities Organization, Saint Louis, MO Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Mar 2, 2015 100%
Rod Hamlett Individual Corporate DirectorBoard Member Apr 25, 2025
Brian Day Individual Corporate OfficerSVP Apr 24, 2025

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 117

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 117

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1922404284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791513",
            "telephone_number": "636-528-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791513",
            "telephone_number": "636-528-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL LINCOLN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "THORN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR FINANCE",
        "authorized_official_telephone_number": "636-528-3329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MO

Sources for this page

Verify at the official NPI Registry.