Organization
MERCY MEDICAL CENTER-CLINTON INC
Active
Organization
MERCY MEDICAL CENTER-CLINTON INC
Active
Other names
Mercy Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MANGIN (CHIEF FINANCIAL OFFICER)
(563) 244-3511
Entity
Organization
Contact information
Practice address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 244-3600
(563) 244-3739
Mailing address
638 S BLUFF BLVD, CLINTON, IA 52732-4742
(563) 244-3600
(563) 244-3739
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200113
—
IA
01
—
46975
BLUE CROSS PROVIDER NUMBE
IA
Enumeration date
01/24/2006
Last updated
01/22/2021
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