Healthcare Provider Details

I. General information

NPI: 1649650714
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: 10/21/2024
Certification Date: 10/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 N 4TH AVE E
NEWTON IA
50208-3135
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 TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number500041H
License Number StateIA

VIII. Authorized Official

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