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MERCY MEDICAL CENTER NPI 1639119332


NPI Information

NPI: 1639119332
Provider Name: MERCY MEDICAL CENTER

Doing Business As: MERCY HOME CARE

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 16D1090866

Address:
2740 1ST AVE NE
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 398-6034
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MERCY MEDICAL CENTER is a home health in Cedar Rapids, IA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. MERCY MEDICAL CENTER NPI is 1639119332. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Home Care.

The provider's business location address is:

2740 1ST AVE NE
CEDAR RAPIDS, IA
ZIP 52402-856
Phone: (319) 398-6034
Fax: (319) 398-6364

The provider's authorized official is Timothy 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 16D1090866 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 2/9/2016.


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
1251E00000XHome Health570036HIOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERAETNA
2=========OTHERGREAT-WEST HEALTHCRE
30671511MEDICAIDIOWA
4167151MEDICARE OSCAR/CERTIFICATION
5A5240306OTHERJOHN DEERE HEALTH CARE

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: 4/28/2024

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