Provider Demographics
NPI:1336665744
Name:NORTH IOWA MERCY CLINICS
Entity Type:Organization
Organization Name:NORTH IOWA MERCY CLINICS
Other - Org Name:MERCYONE NORTH IOWA NEUROSURGERY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DANETTE
Authorized Official - Middle Name:K
Authorized Official - Last Name:ZOOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-428-7989
Mailing Address - Street 1:621 S ILLINOIS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-5489
Mailing Address - Country:US
Mailing Address - Phone:866-494-3001
Mailing Address - Fax:641-428-3059
Practice Address - Street 1:1010 4TH ST SW STE 105
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2856
Practice Address - Country:US
Practice Address - Phone:641-428-7847
Practice Address - Fax:641-428-7999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty