Organization
MERCY MEDICAL CENTER
Active
Parent organization
MERCY MEDICAL CENTER
Other names
Mercy Medical Psych Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEDICAL CENTER
Authorized official
MR. TIMOTHY CHARLES (PRESIDENT AND CEO)
(319) 398-6697
Entity
Organization
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6011
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6011
(319) 398-6509
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
570036H
IA
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
570036H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600791
—
IA
01
—
160079
COVENTRY HEALTH CARE
—
01
—
6S079
WELLMARK BLUE CROSS
—
01
—
A5240306
JOHN DEERE HEALTH PLAN
—
Enumeration date
05/26/2006
Last updated
04/29/2014
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