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NPI Code Detail

MEDICARE: MERCY MEDICAL CENTER-CLINTON INC

MEDICARE: MERCY MEDICAL CENTER-CLINTON INC
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
1332BP3500XParenteral & Enteral Nutrition Supplies (DME)
2332BX2000XOxygen Equipment & Supplies (DME)
3332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
246975OTHERIABLUE CROSS PROVIDER NUMBE

General Provider Information

NPI Number : 1538139472
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY MEDICAL CENTER-CLINTON INC
Provider Business Mailing Address
First Line : 638 S BLUFF BLVD
Second Line :
City : CLINTON
State : IA
Zip : 52732-4742
Country : US
Telephone Number : 563-244-3600
Fax Number : 563-244-3739
Provider Business Practice Location Address
First Line : 638 S BLUFF BLVD
Second Line :
City : CLINTON
State : IA
Zip : 52732-4742
Country : US
Telephone Number : 563-244-3600
Fax Number : 563-244-3739
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. PAUL MANGIN
Credential :
Telephone Number : 563-244-3511
Provider Enumeration Date : 01/24/2006
Last Update Date : 01/22/2021

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Directions to “MERCY MEDICAL CENTER-CLINTON INC ” Practice Location

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