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NPI Code Detail

MEDICARE: MERCY MEDICAL CENTER - NEW HAMPTON

MEDICARE: MERCY MEDICAL CENTER - NEW HAMPTON
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
1146L00000XParamedic
2363LF0000XFamily Nurse Practitioner
3207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109398OTHERIAWELLMARK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568474369
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCY MEDICAL CENTER - NEW HAMPTON
Provider Business Mailing Address
First Line : 600 1ST ST NW STE 101
Second Line :
City : MASON CITY
State : IA
Zip : 50401-2932
Country : US
Telephone Number :
Fax Number : 641-494-3059
Provider Business Practice Location Address
First Line : 308 N MAPLE AVE
Second Line :
City : NEW HAMPTON
State : IA
Zip : 50659-1142
Country : US
Telephone Number : 641-394-2151
Fax Number : 641-394-1999
Authorized Official
Title or Position : CEO
Name : AARON FLUGUM
Credential :
Telephone Number : 641-394-1634
Provider Enumeration Date : 08/12/2006
Last Update Date : 11/25/2024

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Directions to “MERCY MEDICAL CENTER - NEW HAMPTON ” Practice Location

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