=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760574321
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE FINLEY HOSPITAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2006
-----------------------------------------------------
Last Update Date | 06/28/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 350 N GRANDVIEW AVE
-----------------------------------------------------
City | DUBUQUE
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 52001-6388
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-582-1881
-----------------------------------------------------
Fax | 563-589-2562
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 7082
-----------------------------------------------------
City | DES MOINES
-----------------------------------------------------
State | IA
-----------------------------------------------------
Zip | 50309-7082
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 563-582-1881
-----------------------------------------------------
Fax | 563-589-2562
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | MR. CHAD M WOLBERS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 563-589-2414
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 273R00000X
-----------------------------------------------------
Taxonomy Name | Psychiatric Hospital Unit
-----------------------------------------------------
License Number | 31S117
-----------------------------------------------------
License Number State | IA
-----------------------------------------------------