Organization
MERCY MEDICAL CENTER-DUBUQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAY L TAKES (PRESIDENT)
(563) 589-8061
Entity
Organization
Contact information
Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8000
(563) 589-9029
Mailing address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8000
(563) 589-9029
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
310003H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600692
—
IA
01
—
6S069
BLUE CROSS
IA
01
—
A000957
TRICARE/CHAMPUS
IA
Enumeration date
07/11/2006
Last updated
10/20/2016
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