Organization Name: | MERCY MEDICAL CENTER - NEW HAMPTON |
NPI Number: | 1568474369 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODNEY G SCHLADER (CEO) |
Mailing Address: | 308 N Maple Ave New Hampton |
State: | IA US |
Postal Code: | 506591142 |
Phone Number: | 6413942151 |
Fax Number: | 6413941999 |
NPI Enumeration Date: | 08/12/2006 |
NPI Last Update Date: | 07/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |