Healthcare Provider Details
I. General information
NPI: 1023175932
Provider Name (Legal Business Name): FINLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/02/2007
Last Update Date: 10/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1665 EMBASSY WEST DR
DUBUQUE IA
52002-2276
US
IV. Provider business mailing address
1665 EMBASSY WEST DR
DUBUQUE IA
52002-2276
US
V. Phone/Fax
- Phone: 563-585-1290
- Fax: 563-585-1274
- Phone: 563-585-1290
- Fax: 563-585-1274
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2083X0100X |
| Taxonomy | Occupational Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
R
BRANDON
Title or Position: PRESIDENT / CEO
Credential:
Phone: 563-589-2414