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MERCY CARE MANAGEMENT INC NPI 1114451424


NPI Information

NPI: 1114451424
Provider Name: MERCY CARE MANAGEMENT, INC

Doing Business As: MERCYCARE HIAWATHA URGENT CARE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 16D0386861

Address:
1195 BOYSON RD FL 1
HIAWATHA, IA
ZIP 52233
Phone: (319) 832-3950
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MERCY CARE MANAGEMENT, INC is a family nurse practitioner in Hiawatha, IA. MERCY CARE MANAGEMENT, INC NPI is 1114451424. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mercycare Hiawatha Urgent Care.

The provider's business location address is:

1195 BOYSON RD FL 1
HIAWATHA, IA
ZIP 52233-214
Phone: (319) 832-3950
Fax: (319) 832-3951

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

The CLIA number assigned to this NPI record is 16D0386861 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/13/2017 and was last updated on 11/1/2018.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2363LF0000XNurse PractitionerFamilyYes

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: 5/5/2024

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