Organization
MERCY MEDICAL CENTER
Active
Parent organization
MERCY MEDICAL CENTER, CEDAR RAPIDS
Other names
Mercy Renew Image Center, Hall Perrine Cancer Center Pharmacy, Mercy Home Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEDICAL CENTER, CEDAR RAPIDS
Authorized official
TIMOTHY L CHARLES (PRESIDENT AND CEO)
(319) 398-6697
Entity
Organization
Contact information
Practice address
701 10TH STREET SE, CEDAR RAPIDS, IA 52403-1292
(319) 363-1308
(319) 369-4718
Mailing address
701 10TH STREET SE, CEDAR RAPIDS, IA 52403-1292
(319) 398-6011
(319) 398-6912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
570036H
IA
3336C0003X
Community/Retail Pharmacy
Primary
1406
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295857
—
IA
Enumeration date
09/12/2012
Last updated
03/03/2021
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