# MERCY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Rehab Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407075096
- **Authorized official:** MR. PHILIP PETERSON (EXECUTIVE VICE PRESIDENT AND CFO)
- **Authorized official phone:** (319) 398-6146

## Contact information

- **Practice address:** 2120 EDGEWOOD RD SW, CEDAR RAPIDS, IA 52404-2342
- **Practice address phone:** (319) 665-3987
- **Practice address fax:** (319) 665-3986
- **Mailing address:** 701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
- **Mailing address phone:** (319) 398-6146
- **Mailing address fax:** (319) 398-6543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 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