Healthcare Provider Details

I. General information

NPI: 1437741469
Provider Name (Legal Business Name): MERCY MEDICAL CENTER-CLINTON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 02/10/2021
Certification Date: 01/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 N 4TH ST
CLINTON IA
52732-2940
US

IV. Provider business mailing address

1410 N 4TH ST HOME MEDICAL EQUIPMENT
CLINTON IA
52732
US

V. Phone/Fax

Practice location:
  • Phone: 563-244-7556
  • Fax: 563-244-5524
Mailing address:
  • Phone: 563-244-7556
  • Fax: 563-244-5524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: ANNETTE L ZEMEK
Title or Position: DIRECTOR
Credential:
Phone: 563-244-3609