Mercy Health Plaza Dialysis

LBN: Mercy Medical Center
Mercy Health Plaza Dialysis is an health care organization with primary practice located at 5264 Council St Ne , Cedar Rapids IA 52402-2471. The organization recently has only one registered license in Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment, which is considered as the primary health care specialty. Mercy Medical Center can be contacted via phone (319) 398-6011, or through Charles, Timothy via phone (319) 398-6697.

Contact Information

Primary practice address
5264 Council St Ne Cedar Rapids IA 52402-2471
Fax: (319) 398-6509
Website:
Authorized official contact:
Name: Charles, Timothy

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / End-Stage Renal Disease (ESRD) Treatment 261QE0700X 570036H Iowa

Profile Details

NPI number 1760422471
LBN Legal business name Mercy Medical Center
DBA Doing business as Mercy Health Plaza Dialysis
Authorized official Charles, Timothy
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 8th, 2006
Last updated Jun 18th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760422471 NPPES
Other 63514 WELLMARK BLUE CROSS
MEDICAID 0600791 WELLMARK BLUE CROSS
Other A5240306 WELLMARK BLUE CROSS
Other 160079 WELLMARK BLUE CROSS

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