| Mercy Care Management, Inc | |
|
1195 Boyson Rd Fl 1 Hiawatha IA 52233-2214 | |
| (319) 832-3950 | |
| (319) 832-3951 |
| Full Name | Mercy Care Management, Inc |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1195 Boyson Rd Fl 1, Hiawatha, Iowa |
| Authorized Official Name and Position | Timothy L Charles (PRESIDENT AND CEO) |
| Authorized Official Contact | 3193986697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Care Management, Inc Po Box 2963 Cedar Rapids IA 52406-2963 Ph: (319) 832-3950 | Mercy Care Management, Inc 1195 Boyson Rd Fl 1 Hiawatha IA 52233-2214 Ph: (319) 832-3950 |
| NPI Number | 1114451424 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 11/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114451424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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