Healthcare Provider Details

I. General information

NPI: 1851326920
Provider Name (Legal Business Name): MERCY MEDICAL CENTER-DUBUQUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
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 Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number310003H
License Number StateIA

VIII. Authorized Official

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