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MERCY PHYSICIAN ASSOCIATES INC NPI 1255886388


NPI Information

NPI: 1255886388
Provider Name: MERCY PHYSICIAN ASSOCIATES, INC

Doing Business As: MERYCARE PRARIE CREEK

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 16D2116232

Address:
777 76TH AVENUE DR SW
CEDAR RAPIDS, IA
ZIP 52404
Phone: (319) 558-0350
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MERCY PHYSICIAN ASSOCIATES, INC is a family medicine in Cedar Rapids, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERCY PHYSICIAN ASSOCIATES, INC NPI is 1255886388. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Merycare Prarie Creek.

The provider's business location address is:

777 76TH AVENUE DR SW
CEDAR RAPIDS, IA
ZIP 52404-006
Phone: (319) 558-0350
Fax: (319) 558-0351

The provider's authorized official is Timothy L Charles .
The authorized official title is President Ceo and has the following contact phone number (319) 398-6697.

The CLIA number assigned to this NPI record is 16D2116232 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2016 and was last updated on 7/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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