| Organization Name: | MERCY HEALTH SERVICES/IOWA CORP. |
| NPI Number: | 1124125216 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODNEY G SCHLADER (CFO) |
| Mailing Address: | 707 Gilbert St Charles City |
| State: | IA US |
| Postal Code: | 506162703 |
| Phone Number: | 6412283567 |
| Fax Number: | 6412283577 |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 10/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |