MERCY MEDICAL CENTER (NPI# 1760422471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760422471 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER |
| Other Organization Name | MERCY HEALTH PLAZA DIALYSIS |
| Practice Address |
5264 Council St Ne Cedar Rapids IA 52402-2471 |
| Mailing Address |
701 10th St Se Cedar Rapids IA 52403-1251 |
| Practice Telephone | 3193986011 |
| Practice Fax Number | 3193986509 |
| Mailing Telephone | 3193986011 |
| Mailing Fax Number | 3193986509 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-06-18 |
| Authorized Official Name | MR. TIMOTHY CHARLES (PRESIDENT AND CEO) |
| Authorized Official Telephone | 3193986697 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
570036H | IA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WELLMARK BLUE CROSS | 63514 | 01 | |
| IA | 0600791 | 05 | |
| COVENTRY HEALTH CARE | 160079 | 01 | |
| JOHN DEERE HEALTH PLAN | A5240306 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Health Plaza Dialysis | 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 |
5264 COUNCIL ST NE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952360216 | Germain Schmit | Family Medicine | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2006-03-23 |
| 1558974881 | Nicholas James Steger | Physical Therapist | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2020-08-26 |
| 1104450972 | Usrc Eastern Iowa, LLC | Clinic/Center | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2020-03-02 |
| 1194369538 | Heidi Miller | Health Educator | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2019-10-29 |
| 1215570072 | Patricia Vahanian | Health Educator | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2019-10-24 |
| 1982173522 | Allison Rochelle Cox | Physical Therapist | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2018-11-13 |
| 1154899888 | Megan Hixson | Occupational Therapist | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2018-11-12 |
| 1528536240 | Rebecca Strabala | Physical Therapist | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2018-11-12 |
| 1356817480 | Naomi Jean Engelken | Health Educator | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2018-10-16 |
| 1295200582 | Joan Locke | Health Educator | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477980365 | Honeyman Dialysis LLC | Clinic/Center | 1002 4th Ave Se Ste A, Ste A, Cedar Rapids, IA 52403-2425 | 2013-10-09 |
| 1740569458 | Honeyman Dialysis LLC | Clinic/Center | 5945 Council St Ne, Cedar Rapids, IA 52402-5858 | 2011-08-11 |
| 1104450972 | Usrc Eastern Iowa, LLC | Clinic/Center | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2020-03-02 |
| 1528009040 | Mercy Medical Center | Clinic/Center | 701 10th St Se, Cedar Rapids, IA 52403-1292 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817218 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1655 E San Marnan Dr Ste E, Waterloo, IA 50702-4380 | 2020-09-30 |
| 1669001038 | Honeyman Dialysis LLC | Clinic/Center | 701 Tama St Ste 150, Marion, IA 52302-4806 | 2020-04-07 |
| 1588221824 | Rcg Mercy Des Moines LLC | Clinic/Center | 9080 University Ave, West Des Moines, IA 50266-1892 | 2019-05-22 |
| 1639634207 | Fresenius Medical Care Ottumwa, LLC | Clinic/Center | 1110 N Quincy Ave Ste 44, Ottumwa, IA 52501-3884 | 2019-02-07 |
| 1245755529 | Trusten Dialysis LLC | Clinic/Center | 1119 73rd St, Windsor Heights, IA 50324-1313 | 2017-08-08 |
| 1477086692 | Wallips Dialysis, LLC | Clinic/Center | 1117 Hazel St, Pella, IA 50219-1338 | 2017-04-05 |
| 1821499245 | Clyfee Dialysis LLC | Clinic/Center | 1228 E Rusholme St Ste 1000, Davenport, IA 52803-2467 | 2014-09-05 |
| 1982947792 | Davis Dialysis LLC | Clinic/Center | 5865 Sunnybrook Dr, Sioux City, IA 51106-4203 | 2013-03-29 |
| 1972843738 | Geyser Dialysis LLC | Clinic/Center | 2625 N Ankeny Blvd, Ankeny, IA 50023 | 2013-02-15 |
| 1649517673 | Kobuk Dialysis LLC | Clinic/Center | 1005 Pennsylvania Ave Ste 101, Ottumwa, IA 52501-6408 | 2013-01-10 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
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.