| NPI | 1760422471 |
|---|---|
| Doing Business As | MERCY HEALTH PLAZA DIALYSIS |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHARLES President And CEO 319-398-6697 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: IA 570036H) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-06-18 |