Organization
MERCY HEALTH SERVICES/IOWA CORP.
Active
Other names
MERCY CHARLES CITY DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY G SCHLADER (CFO)
(641) 422-7349
Entity
Organization
Contact information
Practice address
707 GILBERT ST, CHARLES CITY, IA 50616-2703
(641) 228-3567
(641) 228-3577
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 494-3041
(641) 494-3059
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600643
—
IA
01
—
62312
WELLMARK
IA
Enumeration date
09/20/2006
Last updated
10/26/2011
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