| Mercy Medical Psych Unit | |
|
701 10th St Se Cedar Rapids IA 52403-1251 | |
| (319) 398-6011 | |
| Not Available |
| Full Name | Mercy Medical Psych Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 701 10th St Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Timothy 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 Medical Psych Unit 701 10th St Se Cedar Rapids IA 52403-1251 Ph: (319) 398-6011 | Mercy Medical Psych Unit 701 10th St Se Cedar Rapids IA 52403-1251 Ph: (319) 398-6011 |
| NPI Number | 1629024930 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 04/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629024930 | NPI | - | NPPES |
| 6S079 | Other | WELLMARK BLUE CROSS | |
| 0600791 | Medicaid | IA | |
| 160079 | Other | COVENTRY HEALTH CARE | |
| A5240306 | Other | JOHN DEERE HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 570036H (Iowa) | Primary |
| 276400000X | Rehabilitation, Substance Use Disorder Unit | 570036H (Iowa) | Secondary |
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