Healthcare Provider Details

I. General information

NPI: 1295824001
Provider Name (Legal Business Name): MERCY HEALTH SERVICES-IOWA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 10/18/2024
Certification Date: 10/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 N EISENHOWER AVE
MASON CITY IA
50401-1525
US

IV. Provider business mailing address

1000 4TH ST SW
MASON CITY IA
50401-2800
US

V. Phone/Fax

Practice location:
  • Phone: 641-428-6070
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number170023H
License Number StateIA

VIII. Authorized Official

Name: MARK C TRAMMEL
Title or Position: VP FINANCE
Credential:
Phone: 641-428-7984