| Mercy Hospital | |
|
550 Osborne Rd Ne Fridley MN 55432-2718 | |
| (763) 236-5000 | |
| Not Available |
| Full Name | Mercy Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 550 Osborne Rd Ne, Fridley, Minnesota |
| Authorized Official Name and Position | Jill Ostrem (PRESIDENT) |
| Authorized Official Contact | 7632368205 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Hospital Po Box 43 Mr 10860 Minneapolis MN 55440-0043 Ph: (612) 262-1166 | Mercy Hospital 550 Osborne Rd Ne Fridley MN 55432-2718 Ph: (763) 236-5000 |
| NPI Number | 1609056100 |
|---|---|
| Provider Enumeration Date | 11/13/2007 |
| Last Update Date | 08/02/2023 |
| Certification Date | 08/02/2023 |
| Medicare PECOS PAC ID | 4587573613 |
|---|---|
| Medicare Enrollment ID | O20170810003802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609056100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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