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NPI Code Detail

MEDICARE: MERCY INSTITUTE OF REHABILITATION

MEDICARE: MERCY INSTITUTE OF REHABILITATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1273Y00000XRehabilitation Hospital Unit141133OR

General Provider Information

NPI Number : 1417988767
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY INSTITUTE OF REHABILITATION
Provider Business Mailing Address
First Line : 2700 NW STEWART PKWY
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-1281
Country : US
Telephone Number : 541-677-2458
Fax Number : 541-677-4830
Provider Business Practice Location Address
First Line : 2700 NW STEWART PKWY
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-1281
Country : US
Telephone Number : 541-677-2458
Fax Number : 541-677-4830
Authorized Official
Title or Position : VICE PRESIDENT/ CFO
Name : JOHN S. KASBERGER
Credential :
Telephone Number : 541-677-2458
Provider Enumeration Date : 07/05/2006
Last Update Date : 09/30/2008

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Directions to “MERCY INSTITUTE OF REHABILITATION ” Practice Location

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