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	282N00000X	General Acute Care Hospital	570036H	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	60079	OTHER	WELLMARK, BLUE CROSS OF I
2	160079	OTHER	COVENTRY HEALTH CARE
3	A5240306	OTHER	JOHN DEERE HEALTH CARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720029333
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	:	319-398-6011
Fax Number	:

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	:	319-398-6011
Fax Number	:	319-398-6509

Authorized Official
Title or Position	:	INTERIM PRESIDENT & CEO
Name	:	GREGORY DEWOLF
Credential	:
Telephone Number	:	319-398-6101

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	06/15/2026

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Directions to “MERCY MEDICAL CENTER ” Practice Location

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