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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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