Organization
MERCY CARE MANAGEMENT, INC
Active
Other names
MercyCare Hiawatha Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY L CHARLES (PRESIDENT AND CEO)
(319) 398-6697
Entity
Organization
Contact information
Practice address
1195 BOYSON RD FL 1, HIAWATHA, IA 52233-2214
(319) 832-3950
(319) 832-3951
Mailing address
PO BOX 2963, CEDAR RAPIDS, IA 52406-2963
(319) 832-3950
(319) 832-3951
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
11/01/2018
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