# MERCY PHYSICIAN ASSOCIATES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mercycare Diabetes Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962807784
- **Authorized official:** MR. TIMOTHY CHARLES (PRESIDENT AND CEO)
- **Authorized official phone:** (319) 398-6697

## Contact information

- **Practice address:** 5264 COUNCIL ST NE, SUITE 800, CEDAR RAPIDS, IA 52402-2471
- **Practice address phone:** (319) 398-6711
- **Mailing address:** PO BOX 1824, CEDAR RAPIDS, IA 52406-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2014
- **Last updated:** 10/23/2014