Organization
MERCYCARE MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEDD KIPPER (DIRECTOR)
(319) 369-4505
Entity
Organization
Contact information
Practice address
610 8TH ST SE, CEDAR RAPIDS, IA 52401-2143
(319) 369-4505
(319) 369-4677
Mailing address
PO BOX 786, CEDAR RAPIDS, IA 52406-0786
(319) 369-4505
(319) 369-4677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207VX0000X
Obstetrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0201558
—
IA
Enumeration date
05/05/2006
Last updated
02/25/2008
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