Provider Demographics
NPI:1467537886
Name:MERCY HEALTH SERVICES-IOWA CORP
Entity Type:Organization
Organization Name:MERCY HEALTH SERVICES-IOWA CORP
Other - Org Name:MERCY MEDICAL CENTER-NORTH IOWA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/FINANCE
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:PO BOX 1894
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50402-1894
Mailing Address - Country:US
Mailing Address - Phone:641-428-3086
Mailing Address - Fax:641-428-3059
Practice Address - Street 1:1000 4TH ST SW
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2800
Practice Address - Country:US
Practice Address - Phone:641-428-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282N00000X
IA170023H282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
No282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0600643Medicaid
IA60064OtherWELLMARK
IA0600643Medicaid