Organization
MERCY MEDICAL CENTER-DUBUQUE
Active
Other names
MercyOne Dubuque Medical Center-Skilled Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY L TAKES (PRESIDENT)
(563) 589-8061
Entity
Organization
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8000
(563) 589-9029
Mailing address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8000
(563) 589-9029
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
310003H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0651166
—
IA
01
—
65116
BLUE CROSS SKILLED
IA
01
—
A000957
TRICARE/CHAMPUS SKILLED
IA
Enumeration date
07/12/2006
Last updated
02/19/2020
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