Healthcare Provider Details

I. General information

NPI: 1598803637
Provider Name (Legal Business Name): MERCY MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S 5TH ST
MAPLETON IA
51034-1201
US

IV. Provider business mailing address

PO BOX 328
SIOUX CITY IA
51102-0328
US

V. Phone/Fax

Practice location:
  • Phone: 712-882-2234
  • Fax: 712-882-2605
Mailing address:
  • Phone: 712-279-2400
  • Fax: 712-279-5883

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRIAN K. MONSMA
Title or Position: NETWORK EXECUTIVE DIRECTOR
Credential:
Phone: 712-279-2400