MEDICARE: MERCY PHYSICIAN ASSOCIATES, INC

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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1245994193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY PHYSICIAN ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	PO BOX 1824
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52406-1824
Country	:	US
Telephone Number	:	319-369-4505
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 1ST AVE NE
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52402-5008
Country	:	US
Telephone Number	:	319-399-8617
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TIMOTHY QUINN
Credential	:	MD
Telephone Number	:	319-398-6560

Provider Enumeration Date	:	10/27/2021
Last Update Date	:	10/27/2021

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