Healthcare Provider Details

I. General information

NPI: 1740660802
Provider Name (Legal Business Name): MERCY MEDICAL CENTER-NEWTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N 4TH AVE E STE D
NEWTON IA
50208-3155
US

IV. Provider business mailing address

204 N 4TH AVE E
NEWTON IA
50208-3135
US

V. Phone/Fax

Practice location:
  • Phone: 641-792-1273
  • Fax:
Mailing address:
  • Phone: 641-792-1273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHAD KELLEY
Title or Position: COO
Credential:
Phone: 641-792-1273