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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