Provider First Line Business Practice Location Address:
800 MERCY DR
Provider Second Line Business Practice Location Address:
ALEGENT MERCY HOSPITAL
Provider Business Practice Location Address City Name:
COUNCIL BLUFFS
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
51503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-328-5000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/19/2006