| Mercy Care Vernon Village | |
|
3933 Mount Vernon Rd Se Cedar Rapids IA 52403-3869 | |
| (319) 369-4798 | |
| Not Available |
| Full Name | Mercy Care Vernon Village |
|---|---|
| Speciality | Family Medicine |
| Location | 3933 Mount Vernon Rd Se, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Annette J Stanton (SR DIRECTOR) |
| Authorized Official Contact | 3193694512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Care Vernon Village Po Box 1824 Cedar Rapids IA 52406-1824 Ph: () - | Mercy Care Vernon Village 3933 Mount Vernon Rd Se Cedar Rapids IA 52403-3869 Ph: (319) 369-4798 |
| NPI Number | 1417153941 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 07/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417153941 | NPI | - | NPPES |
| 0148098 | Medicaid | IA | |
| 0792986 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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