Provider Demographics
NPI:1750889325
Name:MERCY MEDICAL SERVICES
Entity type:Organization
Organization Name:MERCY MEDICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:M ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANNERY-HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-279-2018
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:641-428-3900
Mailing Address - Fax:641-428-3059
Practice Address - Street 1:2827 HAMILTON BLVD
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-2403
Practice Address - Country:US
Practice Address - Phone:712-222-7602
Practice Address - Fax:712-274-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-29
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty