| NPI | 1114451424 |
|---|---|
| Doing Business As | MERCYCARE HIAWATHA URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L CHARLES President And CEO 319-398-6697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2018-11-01 |