MEDICARE: MERCY MEDICAL SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	363AM0700X	Medical Physician Assistant
2	363LF0000X	Family Nurse Practitioner
3	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	02848	OTHER	IA	WELLMARK GROUP NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558305664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY MEDICAL SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 328
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51102-0328
Country	:	US
Telephone Number	:	712-279-5830
Fax Number	:	712-279-5883

Provider Business Practice Location Address
First Line	:	3520 SINGING HILLS BLVD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-0000
Country	:	US
Telephone Number	:	712-274-4351
Fax Number	:	712-274-4350

Authorized Official
Title or Position	:	VP FINANCE
Name	:	JESICA HANSON
Credential	:
Telephone Number	:	712-279-5850

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	10/18/2024

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Directions to “MERCY MEDICAL SERVICES ” Practice Location

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