MERCY MEDICAL CENTER NPI 1760422471

NPI Information

NPI: 1760422471
Provider Name: MERCY MEDICAL CENTER

Doing Business As: MERCY HEALTH PLAZA DIALYSIS

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
5264 COUNCIL ST NE
CEDAR RAPIDS, IA
ZIP 52402
Phone: (319) 398-6011
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MERCY MEDICAL CENTER is an end-stage renal disease (esrd) treatment clinic center in Cedar Rapids, IA. MERCY MEDICAL CENTER NPI is 1760422471. The provider is registered as an organization entity type.
The provider Is Doing Business As Mercy Health Plaza Dialysis.

The provider's business location address is:

5264 COUNCIL ST NE
CEDAR RAPIDS, IA
ZIP 52402-471
Phone: (319) 398-6011
Fax: (319) 398-6509

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 enumeration date for this NPI number is 6/8/2006 and was last updated on 6/18/2009.

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
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	570036H	IOWA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	160079	OTHER		COVENTRY HEALTH CARE
2	A5240306	OTHER		JOHN DEERE HEALTH PLAN
3	163514	MEDICARE OSCAR/CERTIFICATION
4	63514	OTHER		WELLMARK BLUE CROSS
5	0600791	MEDICAID	IOWA
6	=========	OTHER		TRICARE
7	=========	OTHER		AETNA
8	=========	OTHER		GREAT-WEST HEALTHCARE

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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