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Organization
MERCY MEDICAL CENTER
Active
Organization
MERCY MEDICAL CENTER
Active
Other names
Mercy Rehab Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP PETERSON (EXECUTIVE VICE PRESIDENT AND CFO)
(319) 398-6146
Entity
Organization
Contact information
Practice address
2120 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-2342
(319) 665-3987
(319) 665-3986
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6146
(319) 398-6543
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/24/2007
Last updated
09/13/2007
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