Mercy Care Johnson Ave
LBN: Mercy Physician Associates
Mercy Care Johnson Ave is an health care organization with primary practice located at 75 Short St Nw , Cedar Rapids IA 52405-4203. 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 Physician Associates can be contacted via phone (319) 369-4798, or through Stanton, Annette J via phone (319) 369-4512.
Contact Information
Primary practice address
75 Short St Nw
Cedar Rapids IA 52405-4203
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 | 1366648891 |
|---|---|
| LBN Legal business name | Mercy Physician Associates |
| DBA Doing business as | Mercy Care Johnson Ave |
| Authorized official | Stanton, Annette J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2007 |
| Last updated | Feb 1st, 2011 - about 13 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 | 1366648891 | NPPES |
| Iowa | MEDICAID | 0792945 | |
| Iowa | MEDICAID | 0144832 |
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