MERCY MEDICAL CENTER (NPI# 1629243001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629243001 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER |
| Other Organization Name | HALLMAR RESIDENTIAL CARE |
| Practice Address |
701 10th St Se Cedar Rapids IA 52403-1251 |
| Practice Telephone | 3193986241 |
| Practice Fax Number | 3193986190 |
| Mailing Telephone | 3193986241 |
| Mailing Fax Number | 3193986190 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | MR. TIMOTHY L CHARLES (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3193986133 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 570036H | IA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Hallmar Residential Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417493073 | Mercy Medical Center | Chronic Disease Hospital | 7011 E Baltimore St, Baltimore, MD 21224-1829 | 2017-01-06 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1407075096 | Mercy Medical Center | Occupational Therapist | 2120 Edgewood Rd Sw, Cedar Rapids, IA 52404-2342 | 2007-04-24 |
| 1891714994 | Mercy Medical Center | Surgery | 1000 N Village Avenue, Rockville Centre, NY 11571 | 2006-07-19 |
| 1033159769 | Mercy Medical Center | Hospice Care, Community Based | 315 18th Ave, Hiawatha, IA 52233-2042 | 2006-06-08 |
| 1720456361 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Ave, Garden City, NY 11530-4706 | 2015-09-14 |
| 1548661366 | Mercy Medical Center | Rehabilitation Hospital | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2014-09-11 |
| 1558783548 | Mercy Medical Center | Clinic/Center | 1421 S Caton Ave, Suite 203, Baltimore, MD 21227-1025 | 2014-01-10 |
| 1184974677 | Mercy Medical Center | Pharmacy | 701 10th Street Se, Cedar Rapids, IA 52403-1292 | 2012-09-12 |
| 1790054815 | Mercy Medical Center | Rehabilitation Hospital | 345 Saint Paul Pl, Baltimore, MD 21202-2123 | 2011-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER | 500 S Oakwood Rd, Oshkosh, WI 54901-7944 |
| New York State Corporations | MERCY MEDICAL CENTER | 1000 North Village Avenue, Rockville Centre, New York 11570 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER - DES MOINES | 1111 6th Ave, Des Moines, IA 50314-2610 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER - NEWTON | 204 North 4th Avenue East, Newton, IA 50208-3135 |
| Iowa Business Entities | MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | 1000 4th St Sw, Mason City, IA 50401 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER FUNDATION IN IOWA | 1000 4th St Sw, Mason City, IA 50401-2800 |
| New York State Corporations | MERCY MEDICAL CENTER PHYSICIAN-HOSPITAL ALLIANCE, INC. | 1000 North Village Avenue, Rockville Centre, Ny 11570 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC | 301 Saint Paul Pl, Baltimore, MD 21202-2102 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC. | 1320 Mercy Dr Nw, Canton, OH 44708-2614 |
| Oregon Corporations, Companies and Business Names | MERCY MEDICAL CENTER, INC. | 2700 Stewart Parkway, Roseburg, OR 97471 |
| Street Address |
701 10TH ST SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52403-1251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284421 | Chad Abernathey | Neurological Surgery | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2005-06-09 |
| 1942821244 | Nicole Sporrer | Registered Nurse | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-04-28 |
| 1669003075 | Keri Zimmerman | Internal Medicine | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-02-04 |
| 1033740311 | Jessica Leigh Robinson | Physician Assistant | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-01-27 |
| 1144850389 | Kendall Anne Deitering | Speech-Language Pathologist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2020-01-16 |
| 1316586159 | Lindsay Nicole Ehlers | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2019-12-26 |
| 1467007096 | Hanna Bishop Molinari | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-08-09 |
| 1659931269 | Jessica Bettmann | Speech-Language Pathologist | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2019-06-17 |
| 1013574250 | William James Halls | Pharmacist | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-05-23 |
| 1851957732 | Jennifer Lori Somerville | Nurse Practitioner | 701 10th St Se, Cedar Rapids, IA 52403-1251 | 2019-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093242083 | Eric Burton | Social Worker | 1535 1st Ave Se., Cedar Rapids Va Cboc, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1619404613 | Dylan Roberts Streb | Family Medicine | Eastern Iowa Health Center, 1201 Third Avenue Se, Cedar Rapids, IA 52403 | 2017-05-22 |
| 1760870851 | Forefront Dermatology, S.c. | Dermatology | 202 10th Street, Sw, Suite 290, Cedar Rapids, IA 52403 | 2014-12-26 |
| 1801292883 | Laura Pelechek | Marriage & Family Therapist | 1744 2nd Ave Se, Cedar Rapids, IA 52403 | 2014-11-18 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1851564157 | Cedar Rapids Medical Education Foundation | Family Medicine | 1260 Second Avenue S.e., Cedar Rapids, IA 52403 | 2008-04-08 |
| 1093866071 | Mcld Corporation | Durable Medical Equipment & Medical Supplies | 207 2nd Avenue Se Ste A, Cedar Rapids, IA 52403 | 2007-01-16 |
| 1154483980 | James P Schuller | Dentist | 1000 42nd St Se, 1000 Professional Centre Suite B, Cedar Rapids, IA 52403 | 2006-12-15 |
| 1477640183 | C R Iv Service Inc | Home Health | 402 10th St, Ste 700 Carepro Home Health, Cedar Rapids, IA 52403 | 2006-10-06 |
| 1104919638 | C R Iv Service Inc | Durable Medical Equipment & Medical Supplies | 402 10th Street Se, Suite 700, Cedar Rapids, IA 52403 | 2006-10-02 |
| Find all providers in zip 52403 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952528424 | S.t.l. Care Company | Nursing Facility/Intermediate Care Facility | 1220 5th Ave Se, Cedar Rapids, IA 52403-4049 | 2007-04-19 |
| 1366421281 | Cottage Grove Place | Nursing Facility/Intermediate Care Facility | 2115 1st Ave Se, Cedar Rapids, IA 52402 | 2006-01-10 |
| 1023005105 | Marjan Management Services Ltd | Nursing Facility/Intermediate Care Facility | 6420 Council St Ne, Cedar Rapids, IA 52402-1129 | 2005-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389346 | Perry Lutheran Home - Rowley Campus LLC | Nursing Facility/Intermediate Care Facility | 1300 28th St, Perry, IA 50220-2329 | 2020-09-01 |
| 1225546948 | Creekside, Inc | Nursing Facility/Intermediate Care Facility | 503 Wical Way, Grundy Center, IA 50638-0000 | 2018-01-16 |
| 1679920946 | Roy Gonzalez | Nursing Facility/Intermediate Care Facility | 40 Ridgeview Rd, Sioux City, IA 51104-4052 | 2016-05-17 |
| 1609241926 | Monica Wincentsen | Nursing Facility/Intermediate Care Facility | 122 Euclid Ave, Norway, IA 52318 | 2015-12-11 |
| 1003246000 | Keystone Nursing Care Center, Inc | Nursing Facility/Intermediate Care Facility | 280 5th St, Suite 2, Keystone, IA 52249-9533 | 2013-11-13 |
| 1346434826 | Shenandoah Enterprises LLC | Nursing Facility/Intermediate Care Facility | 1201 S Walnut St, Shenandoah, IA 51601-2176 | 2007-08-28 |
| 1568686236 | Martin Health Center, Inc. | Nursing Facility/Intermediate Care Facility | 420 E 11th St, Cedar Falls, IA 50613-3364 | 2007-04-12 |
| 1548386675 | Longhouse-northshire, Ltd | Nursing Facility/Intermediate Care Facility | 711 W 11th St, Spencer, IA 51301-3237 | 2007-03-21 |
| 1083738132 | Spurgeon Manor, Inc. | Nursing Facility/Intermediate Care Facility | 1204 Linden St, Dallas Center, IA 50063-1052 | 2007-03-16 |
| 1861522336 | Mercy Medical Center-clinton, Inc. | Nursing Facility/Intermediate Care Facility | 600 14th Ave N, Clinton, IA 52732-2914 | 2007-03-06 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52403 |
Please comment or provide details below to improve the information on MERCY MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.