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NPI Code Detail

MEDICARE: MERCY MEDICAL CENTER

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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center570036HIA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A5240306OTHERJOHN DEERE HEALTH PLAN
262309OTHERWELLMARK BLUE CROSS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4160079OTHERCOVENTRY HEALTH CARE

General Provider Information

NPI Number : 1528009040
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 : 52403-1292
Country : US
Telephone Number : 319-398-6011
Fax Number : 319-398-6509
Provider Business Practice Location Address
First Line : 701 10TH ST SE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52403-1292
Country : US
Telephone Number : 319-398-6011
Fax Number : 319-398-6509
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : MR. TIMOTHY CHARLES
Credential :
Telephone Number : 319-398-6697
Provider Enumeration Date : 06/08/2006
Last Update Date : 06/26/2014

Similar Medicare Providers

1154273803 — NOAH HERKERT
Practice Location Address:
701 10TH ST SE
CEDAR RAPIDS, IA
52403-1292
Practice Phone: 319-398-6011
Practice Fax:
1497747935 — DR. JONATHAN ARNOLD M.D.
Practice Location Address:
701 10TH ST SE
CEDAR RAPIDS, IA
52403-1292
Practice Phone: 319-398-6577
Practice Fax: 319-221-8663
1407890155 — MELANIE MARIE BLAIS ARNP
Practice Location Address:
701 10TH ST SE
CEDAR RAPIDS, IA
52403-1292
Practice Phone: 319-398-3804
Practice Fax:
1477576841 — MR. BILLY HUGH WEAVER OTR/L
Practice Location Address:
701 10TH ST SE
CEDAR RAPIDS, IA
52403-1292
Practice Phone: 319-398-6011
Practice Fax:
1649447566 — MR. JESS WILLIAM STREIF PHARMD RPH
Practice Location Address:
701 10TH ST SE
CEDAR RAPIDS, IA
52403-1292
Practice Phone: 319-398-6060
Practice Fax: 319-398-6489
1265700421 — JENNIFER LYNN WILLIAMS PHARMD
Practice Location Address:
701 10TH ST SE
CEDAR RAPIDS, IA
52403-1292
Practice Phone: 319-398-6060
Practice Fax:

Directions to “MERCY MEDICAL CENTER ” Practice Location

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