| Organization Name: | COUNTY OF MERCER HOSPITAL |
| NPI Number: | 1285625012 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARJIE EARL (MANAGER) |
| Mailing Address: | 409 Nw 9th Ave Aledo |
| State: | IL US |
| Postal Code: | 612311258 |
| Phone Number: | 3095825301 |
| Fax Number: | |
| NPI Enumeration Date: | 11/01/2005 |
| NPI Last Update Date: | 05/28/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 2001832 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |