MEDICARE: MERCY HEALTH CLINICS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609151471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTH CLINICS, LLC

Provider Business Mailing Address
First Line	:	4600 MCAULEY PL STE 600
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4778
Country	:	US
Telephone Number	:	513-981-5130
Fax Number	:	513-981-5015

Provider Business Practice Location Address
First Line	:	1025 GRAND AVE
Second Line	:
City	:	BEATTYVILLE
State	:	KY
Zip	:	41311-0000
Country	:	US
Telephone Number	:	606-464-8806
Fax Number	:	606-464-9453

Authorized Official
Title or Position	:	SYSTEM DIRECTOR, PAYER DELEGATION &
Name	:	CASSIE LOWE
Credential	:
Telephone Number	:	513-952-5210

Provider Enumeration Date	:	10/12/2011
Last Update Date	:	03/11/2026

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Directions to “MERCY HEALTH CLINICS, LLC ” Practice Location

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