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Organization

MERCY SERVICES CORPORATION

Active
Other names
Parkway Mobility & Medical Supply
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN S. KASBERGER (VICE PRESIDENT/CFO)
(541) 677-2458
Entity
Organization

Contact information

Practice address
2475 NW STEWART PKWY, ROSEBURG, OR 97470-1596
(541) 677-2438
(541) 677-6587
Mailing address
2475 NW STEWART PKWY, ROSEBURG, OR 97471-1596
(541) 677-2438
(541) 677-6587

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
161179-13
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101-600
OR
Enumeration date
09/12/2006
Last updated
09/30/2008
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