MEDICARE: MERCY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	1406	IA
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2127514	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114923513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	701 10TH ST SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-1251
Country	:	US
Telephone Number	:	319-398-6343
Fax Number	:	319-862-1398

Provider Business Practice Location Address
First Line	:	701 10TH ST SE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-1251
Country	:	US
Telephone Number	:	319-398-6343
Fax Number	:	319-862-1398

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	TIMOTHY L CHARLES
Credential	:
Telephone Number	:	319-398-6697

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	08/23/2021

Similar Medicare Providers

1154156099 — EMILY CORAZZI
Practice Location Address:

701 10TH ST SE
CEDAR RAPIDS, IA
52403-1251

Practice Phone: 319-398-6297
Practice Fax:

1740284421 — CHAD ABERNATHEY M.D.
Practice Location Address:

701 10TH ST SE
CEDAR RAPIDS, IA
52403-1251

Practice Phone: 319-363-4622
Practice Fax: 319-364-1364

1770587453 — LOREN J MOUW M.D.
Practice Location Address:

701 10TH ST SE
CEDAR RAPIDS, IA
52403-1251

Practice Phone: 319-221-8570
Practice Fax: 319-221-8575

1003810649 — OWEN M MCCARRON MD
Practice Location Address:

701 10TH ST SE , J EDWARD LUNDY PAVILION 4TH FLOOR
CEDAR RAPIDS, IA
52403-1251

Practice Phone: 319-221-8400
Practice Fax: 319-221-8403

1447254081 — JOHN KENNEDY OLSON MD
Practice Location Address:

701 10TH ST SE , J EDWARD LUNDY PAVILLION 4TH FLOOR
CEDAR RAPIDS, IA
52403-1251

Practice Phone: 319-221-8400
Practice Fax: 319-221-8403

1639165087 — DR. JANET M MERFELD MD
Practice Location Address:

701 10TH SEST
CEDAR RAPIDS, IA
52403-1251

Practice Phone: 319-398-6180
Practice Fax: 319-398-6708

Directions to “MERCY MEDICAL CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.