St. Mary Healthcare And Rehabilitation Center
LBN: St. Mary Healthcare And Rehabilitation Center, Llc
St. Mary Healthcare And Rehabilitation Center is an health care organization with primary practice located at 800 E Rusholme St , Davenport IA 52803-2547. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
St. Mary Healthcare And Rehabilitation Center, Llc can be contacted via phone (563) 322-1668, or through Berg, Michael T. via phone (505) 468-4752.
Contact Information
Primary practice address
800 E Rusholme St
Davenport IA 52803-2547
Phone: (563) 322-1668
Fax: (563) 326-1811
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 820846 | Iowa |
Profile Details
NPI number | 1417283789 |
---|---|
LBN Legal business name | St. Mary Healthcare And Rehabilitation Center, Llc |
DBA Doing business as | St. Mary Healthcare And Rehabilitation Center |
Authorized official | Berg, Michael T. |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Oct 21st, 2009 |
Last updated | Jan 26th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417283789 | NPPES |
Iowa | MEDICAID | 1417283789 |
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