Healthcare Provider Details
I. General information
NPI: 1801264072
Provider Name (Legal Business Name): THE FINLEY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2015
Last Update Date: 06/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8456 PEOSTA COMMERCIAL CT
PEOSTA IA
52068-7123
US
IV. Provider business mailing address
PO BOX 67 8456 PEOSTA COMMERCIAL COURT
PEOSTA IA
52068-0067
US
V. Phone/Fax
- Phone: 563-557-2950
- Fax: 563-557-2955
- Phone: 563-557-2590
- Fax: 563-557-2599
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0002X |
| Taxonomy | Clinic Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 1541 |
| License Number State | IA |
VIII. Authorized Official
Name: MR.
CHAD
M
WOLBERS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 563-589-2414