# MERCY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Center for Fit Families
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578740171
- **Authorized official:** TIM CHARLES (CEO)
- **Authorized official phone:** (319) 398-6133

## Contact information

- **Practice address:** 701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
- **Practice address phone:** (319) 861-7696
- **Mailing address:** PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
- **Mailing address phone:** (319) 369-4505
- **Mailing address fax:** (319) 369-4677

## Taxonomy

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

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 01/25/2008