Organization
MERCY MEDICAL CENTER
Active
Parent organization
MERCY MEDICAL CENTER
Other names
Mercy Professional Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY MEDICAL CENTER
Authorized official
MR. TIMOTHY L CHARLES (PRESIDENT AND CEO)
(319) 398-6133
Entity
Organization
Contact information
Practice address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6011
(319) 398-6912
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6011
(319) 398-6912
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
363L00000X
Nurse Practitioner
A091132
IA
Other
Enumeration date
12/12/2008
Last updated
10/05/2018
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