| Organization Name: | MERCY SERVICES IOWA CITY, INC. |
| NPI Number: | 1124165782 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLY B DURIAN (VICE PRESIDENT) |
| Mailing Address: | 510 W Main St #a Solon |
| State: | IA US |
| Postal Code: | 523339764 |
| Phone Number: | 3196242991 |
| Fax Number: | 3196243931 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 02/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |