Organization Name: | MERCY MEDICAL CENTER |
NPI Number: | 1043438492 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAN NEUFELDER (CEO) |
Mailing Address: | 2700 W 9th Ave Oshkosh |
State: | WI US |
Postal Code: | 549047247 |
Phone Number: | 9202361850 |
Fax Number: | |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |