MEDICARE: NORTH IOWA MERCY CLINICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215948252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH IOWA MERCY CLINICS

Provider Business Mailing Address
First Line	:	621 S ILLINOIS AVE
Second Line	:	SUITE 103
City	:	MASON CITY
State	:	IA
Zip	:	50401-5489
Country	:	US
Telephone Number	:	641-494-3041
Fax Number	:	641-494-3059

Provider Business Practice Location Address
First Line	:	705 ELM ST E
Second Line	:
City	:	ROCKWELL
State	:	IA
Zip	:	50469-0000
Country	:	US
Telephone Number	:	641-822-3303
Fax Number	:	641-822-3359

Authorized Official
Title or Position	:	CFO
Name	:	RODNEY SCHLADER
Credential	:
Telephone Number	:	641-422-7349

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	08/22/2020

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Directions to “NORTH IOWA MERCY CLINICS ” Practice Location

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