MEDICARE: MERCY HOSPITAL, IOWA CITY, IOWA

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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	67181	OTHER	IA	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386620029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HOSPITAL, IOWA CITY, IOWA

Provider Business Mailing Address
First Line	:	540 E JEFFERSON ST STE 305
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-2479
Country	:	US
Telephone Number	:	319-358-2740
Fax Number	:	319-358-2760

Provider Business Practice Location Address
First Line	:	540 E JEFFERSON ST STE 305
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-2479
Country	:	US
Telephone Number	:	319-358-2740
Fax Number	:	319-358-2760

Authorized Official
Title or Position	:	EXECUTIVE ASSISTANT
Name	:	MICHELE ANN BOGS
Credential	:
Telephone Number	:	319-339-3540

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	05/11/2023

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Directions to “MERCY HOSPITAL, IOWA CITY, IOWA ” Practice Location

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