Organization
MERCY MEDICAL CENTER-CLINTON, INC.
Active
Other names
Mercy Living Center South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN WILLIAMS (PRESIDENT & CEO)
(563) 244-3530
Entity
Organization
Contact information
Practice address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 244-5676
(563) 244-5592
Mailing address
1410 N 4TH ST, CLINTON, IA 52732-2940
(563) 244-5676
(563) 244-5592
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
230056H
IA
314000000X
Skilled Nursing Facility
Primary
230056H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230056H
STATE LICENSE
IA
05
—
800342
—
IA
Enumeration date
03/06/2007
Last updated
08/12/2011
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