| Organization Name: | MERCY MEDICAL CENTER |
| NPI Number: | 1033159769 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY CHARLES (PRESIDENT AND CEO) |
| Mailing Address: | 315 18th Ave Hiawatha |
| State: | IA US |
| Postal Code: | 522332042 |
| Phone Number: | 3193986011 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 06/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 570036H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |