Healthcare Provider Details

I. General information

NPI: 1598786220
Provider Name (Legal Business Name): MERCY MEDICAL CENTER-DYERSVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 3RD ST SW
DYERSVILLE IA
52040-1725
US

IV. Provider business mailing address

1111 3RD ST SW
DYERSVILLE IA
52040-1725
US

V. Phone/Fax

Practice location:
  • Phone: 563-875-7101
  • Fax: 563-589-2904
Mailing address:
  • Phone: 563-875-7101
  • Fax: 563-589-2904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number310181H
License Number StateIA

VIII. Authorized Official

Name: DANIELLE GEARHART
Title or Position: PRESIDENT
Credential:
Phone: 563-875-2909