MEDICARE: NORTH IOWA MERCY CLINICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306857347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH IOWA MERCY CLINICS

Provider Business Mailing Address
First Line	:	1000 4TH ST SW
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-2800
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 4TH ST SW STE 220
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-2856
Country	:	US
Telephone Number	:	641-428-5100
Fax Number	:	641-428-5115

Authorized Official
Title or Position	:	VP FINANCE
Name	:	MARK C TRAMMEL
Credential	:
Telephone Number	:	641-428-7984

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	10/18/2024

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