Organization
MERCY IOWA CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY KINTZEL (CREDENTIALING SPECIALIST)
(319) 688-7228
Entity
Organization
Contact information
Practice address
500 E MARKET ST, PSYCHIATRY 4 NORTH, IOWA CITY, IA 52245-2633
(319) 339-3403
(319) 339-3448
Mailing address
500 E MARKET ST, IOWA CITY, IA 52245-2633
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
G119082
IA
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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