Organization
MERCY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
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
(319) 398-6509
Mailing address
701 10TH ST SE, CEDAR RAPIDS, IA 52403-1251
(319) 398-6011
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
570036H
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600791
—
IA
01
—
160079
COVENTRY HEALTH CARE
—
01
—
60079
WELLMARK, BLUE CROSS OF I
—
01
—
A5240306
JOHN DEERE HEALTH CARE
—
Enumeration date
06/08/2006
Last updated
08/17/2012
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