Healthcare Provider Details

I. General information

NPI: 1932217825
Provider Name (Legal Business Name): NORTH IOWA MERCY CLINICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 9TH AVE N
NORTHWOOD IA
50459-1002
US

IV. Provider business mailing address

621 S ILLINOIS AVE SUITE 103
MASON CITY IA
50401-5489
US

V. Phone/Fax

Practice location:
  • Phone: 641-324-1221
  • Fax: 641-324-1233
Mailing address:
  • Phone: 641-494-3041
  • Fax: 641-494-3059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DANETTE A ZOOK
Title or Position: VP FINANCE
Credential:
Phone: 641-428-7989