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NPI Code Detail

MEDICARE: MERCY HOME CARE & HOSPICE-CLINTON

MEDICARE: MERCY HOME CARE & HOSPICE-CLINTON
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
1251E00000XHome Health Agency001008127IL

Other Identifiers

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

General Provider Information

NPI Number : 1407842552
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY HOME CARE & HOSPICE-CLINTON
Provider Business Mailing Address
First Line : 915 13TH AVE N
Second Line :
City : CLINTON
State : IA
Zip : 52732-5067
Country : US
Telephone Number : 563-244-3766
Fax Number : 563-244-3719
Provider Business Practice Location Address
First Line : 915 13TH AVE N
Second Line :
City : CLINTON
State : IA
Zip : 52732-5067
Country : US
Telephone Number : 563-244-3766
Fax Number : 563-244-3719
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : TIMOTHY T SHINBORI
Credential :
Telephone Number : 563-244-3766
Provider Enumeration Date : 09/23/2005
Last Update Date : 09/29/2023

Similar Medicare Providers

1649273772 — DR. JAMES W ROEDER M.D.
Practice Location Address:
915 13TH AVE N
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52732-5067
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Practice Fax: 563-243-0817
1609870260 — DR. JOSEPH LEONARD MONAHAN III D.O.
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1982690947 — DIANE K RITENOUR PT
Practice Location Address:
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CLINTON, IA
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Practice Phone: 563-243-7814
Practice Fax: 563-243-2441
1013996636 — WILLIAM L INGRAM III MD
Practice Location Address:
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CLINTON, IA
52732-5067
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1396702056 — DR. QAISER RASHEED MD
Practice Location Address:
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CLINTON, IA
52732-5067
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1366400327 — DR. OLIVER M ANCHETA M.D.
Practice Location Address:
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Practice Fax: 563-243-0817

Directions to “MERCY HOME CARE & HOSPICE-CLINTON ” Practice Location

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