Organization
MERCY HOSPITAL OF FRANCISCAN SISTERS
Active
Organization
MERCY HOSPITAL OF FRANCISCAN SISTERS
Active
Other names
Mercy Hospital Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY HUBER (CFO)
(319) 272-7607
Entity
Organization
Contact information
Practice address
201 8TH AVE SE, OELWEIN, IA 50662-2447
(319) 283-6000
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
105345
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101972
—
IA
01
—
67M83ME
BLUE CROSS MN CC SYST
MN
Enumeration date
07/28/2005
Last updated
10/10/2024
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