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General NPI Number Information
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NPI Number | 1174699656
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Entity Type | Organization
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Legal Business Name | MERCY HEALTH SERVICES-IOWA CORP.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 115 N MAIN SUITE RH
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City | BUFFALO CENTER
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State | IA
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Zip | 50424-0000
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Country | US
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Telephone | 641-562-2424
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Fax |
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Provider Business Mailing Address
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Address Line | 621 S ILLINOIS AVE SUITE 103
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City | MASON CITY
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State | IA
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Zip | 50401-5489
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Country | US
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Telephone | 641-494-3041
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Fax | 641-494-3059
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Authorized Official
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Title or Position | ASSISTANT TREASURER
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Name | MARK TRAMMEL
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Credential |
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Telephone | 641-428-7984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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