NPI | 1093845737 |
---|---|
Doing Business As | MERCYONE CLINTON MEDICAL CENTER DIALYSIS |
Entity Type | Organization |
Authorized Contact | MELLISSA WOOD COO/Cno 563-589-5608 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IA 230056H) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2024-10-17 |