| NPI | 1164089124 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2019-05-24 |
| Last Updated | 2025-04-28 |
| Authorized Official | Kerry Dunger Executive Director - Finance Phone: 3143643707 |
| Mailing Address | 1019 Valmeyer Rd Columbia, IL 62236-4123 United States Phone: (314) 543-5244 | Fax: (314) 543-5248 📍 View Map |
| Primary Practice Address | 1019 Valmeyer Rd Columbia, IL 62236-4123 United States Phone: (314) 543-5244 | Fax: (314) 543-5248 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | — | — |
| No | 208000000X – Pediatrics | — | — |
| No | 363LF0000X – Nurse Practitioner, Family | — | — |
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About NPI 1164089124
Mercy Clinic Illinois, Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1164089124. The primary specialty listed is Internal Medicine. The organization is located in Columbia, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-05-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1164089124?
NPI 1164089124 belongs to Mercy Clinic Illinois, Llc, a Internal Medicine in Columbia, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1164089124 active?
The current status of NPI 1164089124 in the NPPES registry is Active. The record was last updated on 2025-04-28.
What specialty is NPI 1164089124?
NPI 1164089124 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1164089124?
You can verify NPI 1164089124 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1164089124?
The primary practice address on file for NPI 1164089124 is 1019 Valmeyer Rd, Columbia, IL 62236-4123. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1164089124 issued?
NPI 1164089124 was first issued (enumerated) on 2019-05-24. The NPPES record was last updated on 2025-04-28.
Practice Location Map
Mercy Clinic Illinois, Llc is located at 1019 Valmeyer Rd, Columbia, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mercy Clinic Illinois, Llc. All records sourced from the CMS NPPES registry.