# MERCY CARE MANAGEMENT, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercy Care North
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467659268
- **Authorized official:** MR. TIMOTHY L CHARLES (PRESIDENT AND CEO)
- **Authorized official phone:** (319) 398-6697

## Contact information

- **Practice address:** 5264 COUNCIL ST NE, SUITE 100, CEDAR RAPIDS, IA 52402-2471
- **Practice address phone:** (319) 369-4798
- **Mailing address:** PO BOX 786, CEDAR RAPIDS, IA 52406-0786

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/27/2007
- **Last updated:** 11/01/2018