Organization
MERCY SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L CHARLES (PRESIDENT AND CEO)
(319) 398-6697
Entity
Organization
Contact information
Practice address
1195 BOYSON RD STE 3, HIAWATHA, IA 52233-2214
(319) 832-3910
Mailing address
1195 BOYSON RD STE 3, HIAWATHA, IA 52233-2214
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/11/2019
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