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Organization
SACRED HEART MERCY HEALTH CARE CENTER
Active
Organization
SACRED HEART MERCY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER CECELIA MARIE SCADUTO (ADMINISTRATOR)
(507) 847-3571
Entity
Organization
Contact information
Practice address
803 4TH ST, JACKSON, MN 56143-1056
(507) 847-3571
(507) 847-5664
Mailing address
803 4TH ST, JACKSON, MN 56143-1056
(507) 847-3571
(507) 847-5664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35741
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112054
UCARE MINNESOTA
MN
01
—
49777CO
BLUE CROSS BLUE SHIELD OF
MN
Enumeration date
09/16/2006
Last updated
08/22/2020
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