Healthcare Provider Details

I. General information

NPI: 1093842205
Provider Name (Legal Business Name): MERCY MEDICAL CENTER DUBUQUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 10/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 MERCY DR
DUBUQUE IA
52001-7320
US

IV. Provider business mailing address

250 MERCY DR
DUBUQUE IA
52001-7320
US

V. Phone/Fax

Practice location:
  • Phone: 563-589-8000
  • Fax: 563-589-9029
Mailing address:
  • Phone: 563-589-8000
  • Fax: 563-589-9029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KAY L TAKES
Title or Position: PRESIDENT
Credential:
Phone: 563-589-8061