Mercy Care South
LBN: Mercy Care Management, Inc
Mercy Care South is an health care organization with primary practice located at 2815 Edgewood Rd Sw , Cedar Rapids IA 52404-3258. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Mercy Care Management, Inc can be contacted via phone (319) 369-4798, or through Charles, Timothy L via phone (319) 398-6697.
Contact Information
Primary practice address
2815 Edgewood Rd Sw
Cedar Rapids IA 52404-3258
Phone: (319) 369-4798
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1306042890 |
|---|---|
| LBN Legal business name | Mercy Care Management, Inc |
| DBA Doing business as | Mercy Care South |
| Authorized official | Charles, Timothy L |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2007 |
| Last updated | Nov 1st, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306042890 | NPPES |
| Iowa | MEDICAID | 0794263 | |
| Iowa | MEDICAID | 0794255 |
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