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General NPI Number Information
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NPI Number | 1467511899
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Entity Type | Organization
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Legal Business Name | MERCY TERRACE HILL SURGERY CENTER, LLC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3201 SE 37TH STREET
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City | GRIMES
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State | IA
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Zip | 50111
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Country | US
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Telephone | 515-323-6400
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Fax | 515-247-9549
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Provider Business Mailing Address
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Address Line | PO BOX 4926
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City | DES MOINES
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State | IA
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Zip | 50305
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Country | US
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Telephone | 515-323-6400
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Fax | 515-247-9549
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Authorized Official
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Title or Position | DIRECTOR OF SURGERY
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Name | BRIDGET SUE WEAVER
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Credential | MHA
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Telephone | 515-247-9532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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